Department of Mental Health
Community/Behavioral Health
Northampton, Massachusetts
NPI: 1154549921
Risk Tier
Elevated
Total Paid
$153.0M
$152,980,553
Total Claims
366K
Beneficiaries
91K
Avg Cost/Claim
$417.59
Active billing period: 69 months (2018-01 to 2024-09)
Statistical Fraud Flags (1)
Single-Code
Billing almost exclusively for 1-2 procedure codes despite high total volume.
Bills primarily for code H2018 (2 unique codes).
Advanced Detection Signals
Suspicious Concentration
Herfindahl-Hirschman Index of 1 across 2 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