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

Nonotuck Resource Associates, INC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities·Florence, MA·NPI: 1184769069SharePrint Report

Red Flags Explained

Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:

Single-Code

Single-Code Billing means this provider bills almost exclusively for one or two procedure codes despite high total volume. Legitimate specialists may focus on specific codes, but extreme concentration can indicate a scheme billing repeatedly for the same service.

These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.

Advanced Detection Signals

Additional statistical tests from advanced fraud detection methods

ConcentrationHHI: 1 on 2 codes

These signals use advanced statistical methods including digit distribution analysis, change-point detection, and market concentration metrics. Learn more.

Risk Assessment

Extreme procedure concentration — 100% of all billing flows through just 2 codes (S5140, T1028).

Bills $244.77 per claim for T1028 (Assessment of home, physical & family environments) — 3.0× the national median of $81.30.

This is a statistical summary, not an accusation. See our methodology.

Compared to Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Peers

Total spending distribution among 50 providers in this specialty

P25MedianP75P90

This provider's total spending of $155.0M is at the 50th percentile among 50 Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers.

Active Billing Period:2018-012024-11(83 months)

Extreme procedure concentration — 100% of $155.0M billed through just 2 codes

Total Paid

$155.0M

$154,955,729

Total Claims

1.8M

Beneficiaries

67K

26.4 claims/patient

Avg Cost/Claim

$87

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

🔍 Analysis

Provider Overview

Nonotuck Resource Associates, INC is a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider based in Florence, MA. From the 2018–2024 period, this provider received $155.0M in Medicaid payments across 1.8M claims.

Why This Matters

This provider received $155.0M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 19,369 Medicaid beneficiaries for a full year at average per-enrollee costs.

9% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$19.3M
+12%
2019
$21.6M
+6%
2020
$22.9M
+3%
2021
$23.7M
-1%
2022
$23.3M
-0%
2023
$23.3M
-10%
2024
$20.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 2 distinct procedure codes. The top code (S5140 (Foster care, adult; per diem)) accounts for 100% of total spending.

S5140Normal range

Foster care, adult; per diem

$154.9M

1.8M claims · 100.0%

Your Cost: $87.21/claim|Median: $252.32
0.3× median
T1028Top 10%

Assessment of home, physical & family environments

$50K

203 claims · 0.0%

Your Cost: $244.77/claim|Median: $81.30
3.0× median

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