Department of Mental Health
Community/Behavioral Health
Worcester, Massachusetts
NPI: 1063630838
Risk Tier
Low
Total Paid
$168.8M
$168,780,836
Total Claims
623K
Beneficiaries
94K
Avg Cost/Claim
$270.73
Active billing period: 70 months (2018-01 to 2024-10)
No statistical risk flags detected for this provider.
Advanced Detection Signals
Suspicious Concentration
Herfindahl-Hirschman Index of 1 across 3 procedure codes — billing is highly concentrated in very few services.
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024