Agency
Circle Home, INC.
Circle Home, INC. was paid $5K by Medicaid between Jan 2018 and Sep 2021, across 8 billing codes. Its largest line is S9131, Physical therapy; in the home, per diem — 41% of everything it billed.
33Billing provider infoCIRCLE HOME, INC.
LOWELL, MA 01852
LOWELL, MA 01852
33aNPI1972593697assigned 10/25/2005
33bProvider typeCommunity Based Hospice Care Agency
28Total paid$5K
24GClaims8,442
24DCodes billed8
24AFirst – last monthJan 2018 – Sep 2021
Compared with peers
Next to other Community Based Hospice Care Agency providers in Massachusetts
Rank by total paid#66 of 71
Median peer was paid$4.97M
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 | 5,222 | $709.70 | |
| 2019 | 2,093 | $121.77 | |
| 2020 | 649 | $2K | |
| 2021 | 478 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9131 | Physical therapy; in the home, per diem | 41% | 402 | 100 | $2K |
| S9123 | Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) | 39% | 603 | 244 | $2K |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 16% | 2,124 | 333 | $776.48 |
| S9124 | Nursing care, in the home; by licensed practical nurse, per hour | 3.1% | 122 | 62 | $152.00 |
| G0155 | Services of clinical social worker in home health or hospice settings, each 15 minutes | 1.1% | 285 | 112 | $54.99 |
| Q5001 | Hospice or home health care provided in patient's home/residence | 0% | 3,731 | 187 | $0.00 |
| G0300 | Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes | 0% | 204 | 79 | $0.00 |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | 0% | 971 | 85 | $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 officialFARRAHER-SMITH, DIANE (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Circle Home, INC. | Lowell, MA | $1.55M |
| Hallmark Health Visiting Nurse Association and Hospice, INC. | Malden, MA | $517K |
| Hallmark Health Visiting Nurse Association and Hospice, INC. | Malden, MA | $413K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.