Medicaid Provider Spending

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

NORTHEAST ARC, INC.

NPI: 1912030917 · DANVERS, MA 01923 · Community/Behavioral Health Agency · NPI assigned 03/13/2007

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

99% of spending on code T1020 with only 2 total codes billed. Highly concentrated billing profile.

$16.54M
Total Medicaid Paid
284,590
Total Claims
281,561
Beneficiaries
2
Codes Billed
2018-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialPENNIMAN, GARY (CFO)
NPI Enumeration Date03/13/2007

Related Entities

Other providers sharing the same authorized official: PENNIMAN, GARY

ProviderCityStateTotal Paid
NORTHEAST ARC, INC. DANVERS MA $733.08M
NORTHEAST ARC, INC. DANVERS MA $37.36M
NORTHEAST ARC, INC. DANVERS MA $19.56M
NORTHEAST ARC, INC. DANVERS MA $4.71M
NORTHEAST ARC, INC. DANVERS MA $2.07M
NORTHEAST ARC, INC. PEABODY MA $1.76M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 69,442 $3.98M
2019 73,316 $4.41M
2020 71,438 $4.16M
2021 70,394 $3.99M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1020 Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 284,290 281,308 $16.33M
T1019 Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 300 253 $204K