Agency
Seven Hills Family Services, INC.
Seven Hills Family Services, INC. was paid $0.00 by Medicaid between Jul 2018 and Nov 2024, across 10 billing codes. Its largest line is T1023, Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter — 0% of everything it billed.
33Billing provider infoSEVEN HILLS FAMILY SERVICES, INC.
WORCESTER, MA 01603
WORCESTER, MA 01603
33aNPI1962993758assigned 05/29/2018
33bProvider typeCase Management Agency
28Total paid$0.00
24GClaims139,047
24DCodes billed10
24AFirst – last monthJul 2018 – Nov 2024
Compared with peers
Next to other Case Management Agency providers in Massachusetts
Rank by total paid#134 of 139
Median peer was paid$11.53M
This provider vs. median0.0×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 5,352 | $0.00 | |
| 2019 | 14,556 | $0.00 | |
| 2020 | 21,126 | $0.00 | |
| 2021 | 22,697 | $0.00 | |
| 2022 | 25,598 | $0.00 | |
| 2023 | 25,152 | $0.00 | |
| 2024incomplete | 24,566 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 0% | 1,309 | 1,308 | $0.00 |
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | 0% | 3,141 | 2,325 | $0.00 |
| G9007 | Coordinated care fee, scheduled team conference | 0% | 2,311 | 2,103 | $0.00 |
| G9005 | Coordinated care fee, risk adjusted maintenance | 0% | 80,740 | 55,111 | $0.00 |
| G9011 | Coordinated care fee, risk adjusted maintenance, level 5 | 0% | 32,139 | 26,944 | $0.00 |
| G9004 | Coordinated care fee, risk adjusted low, initial | 0% | 3,866 | 2,698 | $0.00 |
| T2024 | Service assessment/plan of care development, waiver | 0% | 10,684 | 7,719 | $0.00 |
| G9920 | Screening performed and negative | 0% | 311 | 297 | $0.00 |
| T2038 | Community transition, waiver; per service | 0% | 2,873 | 1,922 | $0.00 |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 1,673 | 1,596 | $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 officialTOSCHES, JOSEPH (SENIOR VICE PRESIDENT/COO)