Massachusetts's 19,346 Medicaid providers billed $56.03B between 2018 and 2024. The most-billed code is T2016, accounting for $8.97B in payments. Stoughton is the largest Medicaid billing hub in the state. 15 providers in MA appear on the OIG exclusion list.
| Code | Description | Total Paid |
|---|---|---|
| T2016 | Habilitation, residential, waiver; per diem | $8.97B |
| 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) | $8.43B |
| S5140 | Foster care, adult; per diem | $3.11B |
STOUGHTON ($6.67B) BOSTON ($5.84B) WORCESTER ($3.04B) SPRINGFIELD ($3.01B) BROCKTON ($1.80B) SOUTHBRIDGE ($1.51B) BEVERLY ($1.47B) AMHERST ($1.28B) HYANNIS ($1.17B) HYDE PARK ($1.13B) FALL RIVER ($1.12B) DANVERS ($1.08B) LOWELL ($1.07B) NEW BEDFORD ($1.07B) LAWRENCE ($1.04B) FRAMINGHAM ($922.61M) HOLYOKE ($774.20M) TAUNTON ($738.55M) PITTSFIELD ($726.42M) MARLBOROUGH ($723.37M) AUBURN ($666.11M) PLYMOUTH ($665.95M) HAVERHILL ($604.80M) SOMERVILLE ($559.51M) CAMBRIDGE ($544.60M) LYNN ($542.39M) FITCHBURG ($492.00M) WALPOLE ($473.47M) NORTHAMPTON ($461.41M) MEDFORD ($456.14M) S WEYMOUTH ($450.50M) ROXBURY ($408.94M) BRAINTREE ($385.53M) MALDEN ($365.30M) QUINCY ($361.53M) ARLINGTON ($359.27M) WAKEFIELD ($337.60M) WOBURN ($327.01M) WATERTOWN ($317.35M) TEWKSBURY ($312.37M) METHUEN ($307.71M) EAST BOSTON ($293.97M) SALEM ($286.20M) GREENFIELD ($280.31M) DORCHESTER ($278.22M) LEOMINSTER ($257.78M) WEST SPRINGFIELD ($232.29M) NORWOOD ($230.70M) JAMAICA PLAIN ($212.08M) WEYMOUTH ($211.04M)
Automated signals based on claims-per-beneficiary ratios, single-code concentration, and OIG exclusion status. These are statistical outliers — not evidence of fraud. Learn more
| # | Provider | Total Paid | Flags |
|---|---|---|---|
| 1 | MA-DEPARTMENT OF SOCIAL SERVICES-REHAB | $490.73M | single-code billing |
| 2 | PEABODY RESIDENT SERVICES INC | $105.82M | single-code billing |
| 3 | SEVEN HILLS FAMILY SERVICES, INCORPORATED | $62.53M | single-code billing |
| 4 | ROYALE CARE | $48.94M | single-code billing |
| 5 | NORTH COTTAGE PROGRAM, INC. | $40.07M | single-code billing |
| 6 | FAMILY SERVICE ASSOCIATION OF GREATER FALL RIVER | $36.59M | single-code billing |
| 7 | VIECARE CORP | $35.57M | single-code billing |
| 8 | WESTMASS ELDERCARE | $34.14M | single-code billing |
| 9 | OPEN SKY COMMUNITY SERVICES, INC. | $32.87M | single-code billing |
| 10 | GABRIEL CARE LLC | $29.35M | single-code billing |
| 11 | SOUTH SHORE SUPPORT SERVICES | $26.82M | single-code billing |
| 12 | STAVROS CENTER FOR INDEPENDENT LIVING, INC. | $23.42M | single-code billing |
| 13 | PEOPLE, INCORPORATED | $22.86M | single-code billing |
| 14 | FREEDOM HOME CARE SERVICES, INC. | $22.18M | single-code billing |
| 15 | HILLCREST EDUCATIONAL CENTERS INC | $21.62M | single-code billing |
| 16 | LIFEPATH, INC. | $19.71M | single-code billing |
| 17 | BERKSHIRE COUNTY ARC, INC. | $19.71M | single-code billing |
| 18 | NORTHEAST ARC, INC. | $19.56M | single-code billing |
| 19 | COMMONWEALTH OF MASSACHUSETTS | $19.50M | single-code billing |
| 20 | DEPARTMENT OF MENTAL HEALTH | $17.61M | single-code billing |
| 21 | MATURING GRACEFULLY, LLC | $17.41M | single-code billing |
| 22 | COMMONWEALTH OF MASSACHUSETTS | $16.92M | single-code billing |
| 23 | PREPARATORY REHABILITATION FOR INDIVIDUAL DEVELOPMENT & EMPLOYMENT, IN | $16.85M | single-code billing |
| 24 | ABSOLUTE CARE, INC. | $16.02M | single-code billing |
| 25 | MIDDLESEX HUMAN SERVICE AGENCY, INC. | $15.90M | single-code billing |
| # | Provider | City | Claims | Total Paid |
|---|---|---|---|---|
| 1 | TEMPUS UNLIMITED, INC. | STOUGHTON | 63,523,750 | $5.57B |
| 2 | DEPARTMENT OF DEVELOPMENTAL SERVICES | SOUTHBRIDGE | 1,662,383 | $1.35B |
| 3 | COMMONWEALTH OF MASSACHUSETS | BEVERLY | 1,557,105 | $1.14B |
| 4 | COMMONWEALTH OF MASS-DDS | HYDE PARK | 1,432,892 | $1.10B |
| 5 | STAVROS CENTER FOR INDEPENDENT LIVING, INC. | AMHERST | 11,206,578 | $1.04B |
| 6 | PUBLIC PARTNERSHIPS-COLORADO, INC. | BOSTON | 5,599,208 | $887.50M |
| 7 | COMMONWEALTH OF MASSACHUSETTS-DDS | HYANNIS | 781,227 | $881.89M |
| 8 | BOSTON MEDICAL CENTER CORPORATION | BOSTON | 14,457,145 | $768.48M |
| 9 | NORTHEAST ARC, INC. | DANVERS | 9,313,474 | $733.08M |
| 10 | CAREGIVER HOMES OF MASSACHUSETTS, INC | AUBURN | 7,464,255 | $598.86M |
| 11 | TEMPUS UNLIMITED, INC. | STOUGHTON | 6,632,240 | $554.87M |
| 12 | UMASS MEMORIAL MEDICAL CENTER, INC. | WORCESTER | 9,725,181 | $491.01M |
| 13 | MA-DEPARTMENT OF SOCIAL SERVICES-REHAB | BOSTON | 225,775 | $490.73M |
| 14 | DEPARTMENT OF DEVELOPMENTAL SERVICES | SPRINGFIELD | 750,654 | $465.36M |
| 15 | COMMONWEALTH OF MASSACHUSETTS-DDS | S WEYMOUTH | 578,640 | $447.55M |
| 16 | COMMONWEALTH OF MASSACHUSETTS | HAVERHILL | 584,358 | $443.96M |
| 17 | THE GENERAL HOSPITAL CORPORATION | BOSTON | 10,261,638 | $437.80M |
| 18 | COMMONWEALTH OF MASS-DDS | WALPOLE | 658,415 | $435.79M |
| 19 | BAYSTATE MEDICAL CENTER INC | SPRINGFIELD | 7,805,534 | $374.47M |
| 20 | INNOVIVE HEALTH OF MASSACHUSETTS LLC | MEDFORD | 6,585,441 | $363.49M |
| 21 | CAMBRIDGE PUBLIC HEALTH COMMISSION | CAMBRIDGE | 7,863,886 | $352.57M |
| 22 | DEPARTMENT OF DEVELOPMENTAL SERVICES | FITCHBURG | 390,343 | $352.21M |
| 23 | COMMONWEALTH OF MASS-DDS | FRAMINGHAM | 341,759 | $350.13M |
| 24 | COMMONWEALTH OF MASSACHUSETTS | ARLINGTON | 272,805 | $334.28M |
| 25 | CHILDREN'S HOSPITAL CORPORATION | BOSTON | 4,733,583 | $330.79M |
| 26 | COMMONWEALTH OF MASSACHUSETTS-DDS | TAUNTON | 277,210 | $326.66M |
| 27 | COMMONWEALTH OF MASSACHUSETTS-DDS | PLYMOUTH | 324,256 | $316.56M |
| 28 | COMMONWEALTH OF MASSACHUSETTS-DDS | BROCKTON | 401,166 | $309.70M |
| 29 | COMMONWEALTH OF MASSACHUSETTS | LOWELL | 326,169 | $306.22M |
| 30 | COMMONWEALTH OF MASS-DDS | SOMERVILLE | 334,258 | $298.42M |
| 31 | TEMPUS UNLIMITED, INC. | STOUGHTON | 8,662,499 | $290.81M |
| 32 | DEPARTMENT OF DEVELOPMENTAL SERVICES | WORCESTER | 303,939 | $282.08M |
| 33 | COMMONWEALTH OF MASSACHUSETTS | WAKEFIELD | 270,700 | $280.88M |
| 34 | DEPARTMENT OF DEVELOPMENTAL SERVICES | PITTSFIELD | 341,103 | $275.00M |
| 35 | BETH ISRAEL DEACONESS MEDICAL CENTER, INC. | BOSTON | 7,802,371 | $270.28M |
| 36 | BRIGHAM & WOMENS HOSPITAL, INC. | BOSTON | 6,310,608 | $252.58M |
| 37 | DEPARTMENT OF DEVELOPMENTAL SERVICES | HOLYOKE | 407,762 | $249.65M |
| 38 | DANA-FARBER CANCER INSTITUTE, INC. | BOSTON | 2,372,309 | $240.21M |
| 39 | BEHAVIORAL HEALTH NETWORK INC | SPRINGFIELD | 2,402,081 | $238.59M |
| 40 | COMMONWEALTH OF MASSACHUSETTS-DDS | NEW BEDFORD | 376,713 | $226.03M |
| 41 | HABIT OPCO, LLC | SPRINGFIELD | 9,635,556 | $224.15M |
| 42 | MYSTIC VALLEY ELDER SERVICES, INC. | MALDEN | 999,397 | $222.95M |
| 43 | COMMONWEALTH OF MASSACHUSETTS-DDS | FALL RIVER | 215,609 | $218.13M |
| 44 | COMMONWEALTH OF MASSACHUSETTS | TEWKSBURY | 676,686 | $212.83M |
| 45 | QUEST DIAGNOSTICS LLC | MARLBOROUGH | 45,938,450 | $209.74M |
| 46 | COMMONWEALTH OF MASSACHUSETTS-DMH | BROCKTON | 544,933 | $208.02M |
| 47 | DEPARTMENT OF DEVELOPMENTAL SERVICES | NORTHAMPTON | 321,786 | $204.87M |
| 48 | CENTRUS PREMIER HOME CARE INC | PLYMOUTH | 678,263 | $200.96M |
| 49 | QUEST DIAGNOSTICS MASSACHUSETTS LLC | MARLBOROUGH | 17,471,892 | $199.86M |
| 50 | SPECTRUM HEALTH SYSTEMS, INC | WORCESTER | 7,479,414 | $187.39M |
| 51 | CENTRAL BOSTON ELDER SERVICES, INC. | ROXBURY | 1,853,772 | $186.66M |
| 52 | JUSTICE RESOURCE INSTITUTE, INC | ACTON | 1,950,809 | $185.80M |
| 53 | MEDICAL ASSOCIATES OF EBNHC | EAST BOSTON | 3,014,616 | $179.33M |
| 54 | SOUTHCOAST HOSPITALS GROUP, INC | NEW BEDFORD | 4,878,292 | $172.80M |
| 55 | CHILD & FAMILY SERVICES, INC. | NEW BEDFORD | 1,630,436 | $169.57M |
| 56 | DEPARTMENT OF MENTAL HEALTH | WORCESTER | 623,421 | $168.78M |
| 57 | TUFTS MEDICAL CENTER, INC. | BOSTON | 4,021,450 | $164.34M |
| 58 | AGESPAN, INC. | LAWRENCE | 1,333,642 | $163.36M |
| 59 | BROCKTON HOSPITAL, INC. | BROCKTON | 3,609,047 | $160.74M |
| 60 | THE LOWELL GENERAL HOSPITAL | LOWELL | 4,669,409 | $159.91M |
| 61 | NONOTUCK RESOURCE ASSOCIATES, INC | FLORENCE | 1,776,447 | $154.96M |
| 62 | SPRINGWELL | WATERTOWN | 512,436 | $153.84M |
| 63 | COMMONWEALTH OF MASSACHUSETTS | BOSTON | 446,495 | $153.57M |
| 64 | DEPARTMENT OF MENTAL HEALTH | NORTHAMPTON | 366,343 | $152.98M |
| 65 | BERKSHIRE MEDICAL CENTER, INC | PITTSFIELD | 3,855,758 | $150.13M |
| 66 | CLINICAL & SUPPORT OPTIONS, INC | GREENFIELD | 1,587,375 | $147.83M |
| 67 | STAVROS CENTER FOR INDEPENDENT LIVING, INC. | AMHERST | 4,493,816 | $146.35M |
| 68 | LYNN COMMUNITY HEALTH, INC. | LYNN | 2,070,685 | $138.29M |
| 69 | NORTH SHORE MEDICAL CENTER, INC. | SALEM | 4,624,085 | $137.69M |
| 70 | OLD COLONY ELDERLY SERVICES, INC. | BROCKTON | 1,170,455 | $137.68M |
| 71 | GANDARA MENTAL HEALTH CENTER INC | SPRINGFIELD | 1,407,451 | $133.34M |
| 72 | DOUGLAS A. THOM CLINIC, INC. | LOWELL | 1,101,912 | $132.52M |
| 73 | NORTHEAST BEHAVIORAL HEALTH CORPORATION | BEVERLY | 1,330,717 | $128.31M |
| 74 | COMMUNITY HEALTHLINK INC | WORCESTER | 1,392,016 | $127.31M |
| 75 | COMMUNITY HEALTH CARE, INC. | WESTFIELD | 5,880,762 | $127.15M |
| 76 | WEC HEALTH, LLC | FRAMINGHAM | 1,051,441 | $126.41M |
| 77 | HOLYOKE MEDICAL CENTER, INC. | HOLYOKE | 3,244,490 | $125.05M |
| 78 | NORTHEAST HEALTH SERVICES, LLC | TAUNTON | 1,280,786 | $121.15M |
| 79 | BOSTON SENIOR HOME CARE | BOSTON | 1,204,167 | $118.61M |
| 80 | TEMPUS UNLIMITED, INC. | STOUGHTON | 1,848,166 | $113.21M |
| 81 | LAHEY CLINIC HOSPITAL, INC. | BURLINGTON | 3,168,326 | $112.94M |
| 82 | SOUTH BAY MENTAL HEALTH CENTER, INC. | BROCKTON | 1,324,228 | $112.04M |
| 83 | VITRA HEALTH, INC. | BRAINTREE | 655,592 | $108.74M |
| 84 | BEHAVIORAL HEALTH NETWORK, INC | SPRINGFIELD | 1,316,333 | $108.36M |
| 85 | RIVERSIDE COMMUNITY CARE, INC. | NORWOOD | 1,538,379 | $108.13M |
| 86 | BREWSTER AMBULANCE SERVICE INC. | WEYMOUTH | 1,506,974 | $107.12M |
| 87 | PEABODY RESIDENT SERVICES INC | BRAINTREE | 523,229 | $105.82M |
| 88 | ELIOT COMMUNITY HUMAN SERVICES | LEXINGTON | 1,976,102 | $103.85M |
| 89 | COMFORT HOME CARE LLC | METHUEN | 2,067,248 | $103.81M |
| 90 | GREATER LAWRENCE FAMILY HEALTH CENTER, INC. | LAWRENCE | 987,699 | $103.67M |
| 91 | RELIANT MEDICAL GROUP, INC | WORCESTER | 1,787,969 | $101.96M |
| 92 | HRI CLINICS, INC. | WOBURN | 1,180,360 | $101.78M |
| 93 | THE MERCY HOSPITAL INC | SPRINGFIELD | 2,014,914 | $98.92M |
| 94 | UMASS MEMORIAL MEDICAL GROUP INC | WORCESTER | 2,643,419 | $98.44M |
| 95 | HIGH POINT TREATMENT CENTER INC. | NEW BEDFORD | 1,364,300 | $98.35M |
| 96 | SOUTHCOAST HOSPITALS GROUP, INC | FALL RIVER | 3,107,660 | $97.65M |
| 97 | CENTER FOR HUMAN DEVELOPMENT, INC. | SPRINGFIELD | 1,049,086 | $97.05M |
| 98 | MASSACHUSETTS MENTOR LLC | BROCKTON | 1,117,563 | $95.78M |
| 99 | SOUTH SHORE HOSPITAL INC. | SOUTH WEYMOUTH | 2,147,798 | $95.13M |
| 100 | BROCKTON NEIGHBORHOOD HEALTH CENTER | BROCKTON | 1,672,811 | $91.34M |