Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

THE ASSOCIATION FOR COMMUNITY LIVING

NPI: 1841469178 · SPRINGFIELD, MA 01104 · Developmentally Disabled Services Day Training Agency · NPI assigned 02/20/2008

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code S5140 with only 2 total codes billed. Highly concentrated billing profile.

$14.61M
Total Medicaid Paid
203,166
Total Claims
6,693
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialFLETCHER, DONALD (EXECUTIVE DIRECTOR)
NPI Enumeration Date02/20/2008

Related Entities

Other providers sharing the same authorized official: FLETCHER, DONALD

ProviderCityStateTotal Paid
SHELBY COUNTY GOVERNMENT MEMPHIS TN $3.59M
FIRST PRIORITY HOME CARE COLUMBIA SC $1.48M
AQUIDNECK RADIOLOGISTS, INC. NEWPORT RI $125K
GOLD STAR HOME CARE CHARLOTTE NC $83K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 29,879 $2.07M
2019 32,196 $2.27M
2020 33,864 $2.38M
2021 30,174 $2.18M
2022 28,762 $2.14M
2023 28,109 $2.09M
2024 20,182 $1.50M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5140 Foster care, adult; per diem 203,154 6,681 $14.61M
T1028 Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs 12 12 $3K