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

MASSACHUSETTS REHABILITATION COMMISSION

Community/Behavioral Health·WORCESTER, MA·NPI: 1326250150Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $64.6M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-10(77 months)

Total Paid

$64.6M

$64,647,287

Total Claims

19K

Beneficiaries

8,152

2.3 claims/patient

Avg Cost/Claim

$3K

Monthly Spending Trend

Yearly Spending

2018
$14.9M
+7%
2019
$15.9M
-6%
2020
$15.0M
-50%
2021
$7.4M
-54%
2022
$3.4M
+3%
2023
$3.5M
+27%
2024
$4.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 67% of total spending.

T2016Top 1%

Habilitation, residential, waiver; per diem

$43.2M

2,974 claims · 66.8%

Your Cost: $14,525.49/claim|Median: $331.94
43.8× median
T2038Top 5%

Community transition, waiver; per service

$14.0M

6,198 claims · 21.6%

Your Cost: $2,255.08/claim|Median: $531.12
4.2× median
S5165Top 10%

Home modifications, per service

$5.6M

1,013 claims · 8.6%

Your Cost: $5,502.13/claim|Median: $2,196.32
2.5× median
S5100Top 25%

Day care services, adult, per half day

$838K

3,738 claims · 1.3%

Your Cost: $224.14/claim|Median: $67.58
3.3× median
S5135Top 5%

Companion care, adult, per diem

$625K

2,003 claims · 1.0%

Your Cost: $312.22/claim|Median: $52.25
6.0× median
H2014Normal range

Skills training & development, per 15 min

$435K

3,169 claims · 0.7%

Your Cost: $137.15/claim|Median: $83.88
1.6× median