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

ARC Worcester Center, L.P.

ARC Worcester Center, L.P. was paid $1.18M by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 39% of everything it billed.

33Billing provider infoARC WORCESTER CENTER, L.P.
WORCESTER, MA 01605
33aNPI1851396014assigned 06/15/2005
28Total paid$1.18M
24GClaims3,946
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Ambulatory Surgical Clinic/Center providers in Massachusetts

Rank by total paid#4 of 35
Median peer was paid$210K
This provider vs. median5.6×

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.

Entity ProliferationAuthorized official BAILEY, JONATHAN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
2018726$174K
2019494$196K
2020215$72K
2021335$97K
2022722$145K
2023813$267K
2024incomplete641$233K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 39% 1,327 1,291 $465K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 37% 823 732 $442K
42820 Tonsillectomy and adenoidectomy; younger than age 12 9.3% 73 73 $110K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 9.3% 534 520 $110K
45380 Colonoscopy, flexible; with biopsy, single or multiple 2.7% 129 128 $32K
58661 1.6% 12 12 $19K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 25 25 $6K
V2632 Posterior chamber intraocular lens <1% 252 252 $888.51
G8907 Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility 0% 183 180 $0.00
G8918 Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis 0% 122 121 $0.00
L8699 Prosthetic implant, not otherwise specified 0% 195 193 $0.00
C1889 Implantable/insertable device, not otherwise classified 0% 271 271 $0.00

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 officialBAILEY, JONATHAN (OFFICER/AUTHORIZED OFFICIAL)
Same official

Other billing entities under BAILEY, JONATHAN

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