Somerville Cambridge Elder Services
Case Management
Somerville, Massachusetts
NPI: 1154455020
Risk Tier
Elevated
Total Paid
$27.1M
$27,052,244
Total Claims
138K
Beneficiaries
12K
Avg Cost/Claim
$195.33
Statistical Risk Flags (1)
Consistent Billing
Monthly billing amounts show almost no natural variation (CV < 0.1).
Monthly billing coefficient of variation: 0.0875 (near-zero variation).
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