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

Commonwealth of Massachusetts

Community/Behavioral Health

Boston, Massachusetts

NPI: 1235255597

Risk Tier

Low

Total Paid

$153.6M

$153,570,471

Total Claims

446K

Beneficiaries

113K

Avg Cost/Claim

$343.95

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