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

Piecing the Puzzle

Piecing the Puzzle was paid $1.37M by Medicaid between Nov 2018 and Jul 2024, across 5 billing codes. Its largest line is H2019, therapeutic behavioral services, billed per 15 minutes — 35% of everything it billed.

33Billing provider infoPIECING THE PUZZLE
CARVER, MA 02330
33aNPI1952689069assigned 07/25/2011
28Total paid$1.37M
24GClaims7,254
24DCodes billed5
24AFirst – last monthNov 2018 – Jul 2024
Compared with peers

Next to other Community/Behavioral Health Agency providers in Massachusetts

Rank by total paid#85 of 169
Median peer was paid$1.37M
This provider vs. median1.0×

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.

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
2018378$76K
2019133$47K
202048$8K
20211,146$183K
20222,659$520K
20232,296$428K
2024incomplete594$104K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2019 Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes 35% 2,132 206 $478K
97153 Applied behavior analysis (autism therapy), per 15 minutesAdaptive behavior treatment by protocol, administered by technician, each 15 minutes 32% 2,128 265 $439K
H0031 Mental health assessment, by non-physician 13% 1,242 399 $180K
97155 Adaptive behavior treatment with protocol modification, administered by physician, each 15 minutes 11% 957 217 $148K
H0032 Mental health service plan development by non-physician 8.8% 795 144 $120K

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 officialMCCAFFREY, ERICA (DIRECTOR)