Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

Old Colony Elderly Services, Inc.

Case Management·Brockton, MA·NPI: 1033239058Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $137.7M is at the 50th percentile among 137 Case Management providers.

Active Billing Period:2018-01→2024-11(83 months)
Sharp billing drop in final month

Total Paid

$137.7M

$137,684,007

Total Claims

1.2M

Beneficiaries

379K

3.1 claims/patient

Avg Cost/Claim

$118

#811 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Old Colony Elderly Services, Inc. is a Case Management provider based in Brockton, MA. From the 2018–2024 period, this provider received $137.7M in Medicaid payments across 1.2M claims.

Important Context

  • ℹ️This provider appears to operate as a fiscal intermediary or management organization, processing payments on behalf of many individual caregivers. High aggregate billing is expected for this type of entity.

Why This Matters

This provider received $137.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 17,210 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 27% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$17.3M
+27%
2019
$21.9M
+0%
2020
$21.9M
-2%
2021
$21.4M
+6%
2022
$22.7M
-13%
2023
$19.7M
-36%
2024
$12.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (G0156 (Home health aide services, per visit)) accounts for 19% of total spending.

G0156Top 5%

Home health aide services, per visit

$26.3M

78K claims · 19.1%

Your Cost: $337.98/claim|Median: $39.42
8.6× median
S5125Top 5%

Attendant care services, per 15 min

$26.1M

25K claims · 19.0%

Your Cost: $1,029.73/claim|Median: $82.34
12.5× median
S5102Top 10%

Day care services, adult; per 15 min

$19.4M

92K claims · 14.1%

Your Cost: $210.68/claim|Median: $81.10
2.6× median
S5130Normal range

Homemaker service, NOS; per 15 min

$19.4M

227K claims · 14.1%

Your Cost: $85.48/claim|Median: $48.76
1.8× median
T1019Normal range

Personal care services, per 15 min

$11.6M

95K claims · 8.4%

Your Cost: $121.79/claim|Median: $82.47
1.5× median
T2003Top 10%

Non-emergency transport; encounter/trip

$9.5M

85K claims · 6.9%

Your Cost: $112.04/claim|Median: $21.70
5.2× median
S5170Normal range

Homemaker service, NOS, per diem

$5.4M

222K claims · 4.0%

Your Cost: $24.48/claim|Median: $19.89
1.2× median
S5140Top 25%

Foster care, adult; per diem

$4.2M

2,636 claims · 3.0%

Your Cost: $1,588.33/claim|Median: $252.32
6.3× median
T2022Normal range

Case management, per month

$2.6M

51K claims · 1.9%

Your Cost: $51.37/claim|Median: $202.77
0.3× median
S5161Normal range

Emergency response system, per month

$2.4M

95K claims · 1.7%

Your Cost: $25.06/claim|Median: $29.97
0.8× median
S5175Normal range

Laundry service, per occasion

$2.3M

71K claims · 1.7%

Your Cost: $32.91/claim|Median: $30.40
1.1× median
T1016Normal range

Case management, each 15 min

$1.7M

25K claims · 1.2%

Your Cost: $68.16/claim|Median: $49.62
1.4× median
S5101Normal range

Day care services, adult, per half day

$1.5M

20K claims · 1.1%

Your Cost: $74.59/claim|Median: $66.43
1.1× median
S5135Normal range

Companion care, adult, per diem

$1.3M

17K claims · 1.0%

Your Cost: $78.87/claim|Median: $52.25
1.5× median
S5121Normal range

Attendant care services, in-home, per 15 min

$714K

18K claims · 0.5%

Your Cost: $40.33/claim|Median: $111.06
0.4× median
S5100Normal range

Day care services, adult, per half day

$591K

8,806 claims · 0.4%

Your Cost: $67.07/claim|Median: $67.58
1.0× median
H0046Normal range

Mental health services, not otherwise specified

$577K

7,654 claims · 0.4%

Your Cost: $75.38/claim|Median: $85.02
0.9× median
T1020Normal range

Personal care services, per diem

$373K

7,129 claims · 0.3%

Your Cost: $52.33/claim|Median: $296.27
0.2× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$366K

4,415 claims · 0.3%

Your Cost: $82.83/claim|Median: $51.67
1.6× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$209K

2,085 claims · 0.2%

Your Cost: $100.29/claim|Median: $106.70
0.9× median
S5165Normal range

Home modifications, per service

$202K

815 claims · 0.1%

Your Cost: $247.35/claim|Median: $2,196.32
0.1× median
T2024Normal range

Supported employment, waiver, per diem

$159K

2,087 claims · 0.1%

Your Cost: $76.29/claim|Median: $259.38
0.3× median
G0175Normal range

$132K

1,594 claims · 0.1%

Your Cost: $82.65/claim|Median: $51.98
1.6× median
A9279Normal range

$109K

2,890 claims · 0.1%

Your Cost: $37.78/claim|Median: $10.45
3.6× median
S5120Top 5%

Chore services, per 15 min

$80K

292 claims · 0.1%

Your Cost: $274.18/claim|Median: $70.19
3.9× median
G9001Normal range

$79K

1,160 claims · 0.1%

Your Cost: $68.46/claim|Median: $53.98
1.3× median
A9901Top 25%

$74K

4,746 claims · 0.1%

Your Cost: $15.57/claim|Median: $5.31
2.9× median
S0280Normal range

Medical home program, comprehensive care management

$47K

387 claims · 0.0%

Your Cost: $120.45/claim|Median: $48.38
2.5× median
A0100Top 1%

Non-emergency transportation; per trip

$24K

60 claims · 0.0%

Your Cost: $403.24/claim|Median: $24.72
16.3× median
S5160Normal range

Emergency response system, per month

$13K

390 claims · 0.0%

Your Cost: $32.92/claim|Median: $38.52
0.9× median

Other Top Providers in Massachusetts

View all →

Tempus Unlimited, Inc.

Voluntary or Charitable

$5.57B

Department of Developmental Services

Case Management

$1.35B

Commonwealth of Massachusets

Case Management

$1.14B

Commonwealth of Mass-dds

Case Management

$1.10B

Stavros Center for Independent Living Inc.

Case Management

$1.04B

Similar Providers

Other top providers in Case Management

Department of Developmental Services

Southbridge, MA

$1.35B

Commonwealth of Massachusets

Beverly, MA

$1.14B

Commonwealth of Mass-dds

Hyde Park, MA

$1.10B

Community Assistance Resources & Extended Services INC

New York, NY

$1.04B

Stavros Center for Independent Living Inc.

Amherst, MA

$1.04B

← All providersAll providers in Massachusetts →How we detect fraud →