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

CENTRO LAS AMERICAS

Community Health Worker·WORCESTER, MA·NPI: 1316245319Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$43.8M

$43,793,593

Total Claims

328K

Beneficiaries

20K

16.6 claims/patient

Avg Cost/Claim

$133

Monthly Spending Trend

Yearly Spending

2018
$5.2M
+7%
2019
$5.6M
+12%
2020
$6.3M
+1%
2021
$6.3M
-4%
2022
$6.1M
+12%
2023
$6.8M
+8%
2024
$7.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 3 distinct procedure codes. The top code (S5140 (Foster care, adult; per diem)) accounts for 94% of total spending.

S5140Normal range

Foster care, adult; per diem

$41.2M

312K claims · 94.2%

Your Cost: $132.30/claim|Median: $252.32
0.5× median
H2019Top 25%

Therapeutic behavioral services, per 15 min

$2.5M

16K claims · 5.7%

Your Cost: $157.44/claim|Median: $84.12
1.9× median
T1027Top 25%

Family training and counseling, per 15 minutes

$66K

620 claims · 0.2%

Your Cost: $107.17/claim|Median: $53.00
2.0× median