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Commonwealth of Massachusetts

Community/Behavioral Health·Tewksbury, MA·NPI: 1497870943Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $212.8M is at the 75th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-10(70 months)

Total Paid

$212.8M

$212,829,452

Total Claims

677K

Beneficiaries

137K

4.9 claims/patient

Avg Cost/Claim

$315

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

🔍 Analysis

Provider Overview

Commonwealth of Massachusetts is a Community/Behavioral Health provider based in Tewksbury, MA. From the 2018–2024 period, this provider received $212.8M in Medicaid payments across 677K claims.

Why This Matters

This provider received $212.8M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 26,603 Medicaid beneficiaries for a full year at average per-enrollee costs.

40% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$35.9M
+5%
2019
$37.9M
+4%
2020
$39.5M
+8%
2021
$42.6M
-52%
2022
$20.5M
-28%
2023
$14.8M
+46%
2024
$21.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 3 distinct procedure codes. The top code (H2018 (Psychosocial rehabilitation services, per diem)) accounts for 94% of total spending.

H2018Normal range

Psychosocial rehabilitation services, per diem

$199.1M

655K claims · 93.5%

Your Cost: $304.01/claim|Median: $392.63
0.8× median
H0019Normal range

Behavioral health; residential, per diem

$11.6M

21K claims · 5.5%

Your Cost: $551.43/claim|Median: $357.16
1.5× median
H0018Top 10%

Behavioral health; short-term residential, per diem

$2.1M

701 claims · 1.0%

Your Cost: $3,015.16/claim|Median: $467.51
6.5× median