Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

The Association for Community Living

The Association for Community Living was paid $14.61M by Medicaid between Jan 2018 and Sep 2024, across 2 billing codes. Its largest line is S5140, Foster care, adult; per diem — 100% of everything it billed.

33Billing provider infoTHE ASSOCIATION FOR COMMUNITY LIVING
SPRINGFIELD, MA 01104
33aNPI1841469178assigned 02/20/2008
28Total paid$14.61M
24GClaims203,166
24DCodes billed2
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Developmentally Disabled Services Day Training Agency providers in Massachusetts

Rank by total paid#14 of 129
Median peer was paid$5.89M
This provider vs. median2.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code S5140 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201829,879$2.07M
201932,196$2.27M
202033,864$2.38M
202130,174$2.18M
202228,762$2.14M
202328,109$2.09M
2024incomplete20,182$1.50M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S5140 Foster care, adult; per diem 100% 203,154 6,681 $14.61M
T1028 Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs <1% 12 12 $3K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialFLETCHER, DONALD (EXECUTIVE DIRECTOR)
Same official

Other billing entities under FLETCHER, DONALD

Full network →
ProviderLocationPaid
Shelby County GovernmentMemphis, TN$3.59M
First Priority Home CareColumbia, SC$1.48M
Aquidneck Radiologists, INC.Newport, RI$125K
Gold Star Home CareCharlotte, NC$83K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.