Is GREATER SPRINGFIELD SENIOR SERVICES, INC. flagged for Medicaid fraud?

GREATER SPRINGFIELD SENIOR SERVICES, INC. (NPI: 1578696738) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does GREATER SPRINGFIELD SENIOR SERVICES, INC. bill Medicaid?

GREATER SPRINGFIELD SENIOR SERVICES, INC. received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Case Management provider. Located in SPRINGFIELD, MA.

What is NPI 1578696738?

NPI 1578696738 is the National Provider Identifier for GREATER SPRINGFIELD SENIOR SERVICES, INC.. They are a Case Management provider based in SPRINGFIELD, MA. This NPI is registered with the CMS NPI Registry.

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GREATER SPRINGFIELD SENIOR SERVICES, INC.

Case Management·SPRINGFIELD, MA·NPI: 1578696738Share

Compared to Case Management Peers

Total spending distribution among 137 providers in this specialty

P25MedianP75P90

This provider's total spending of $55.1M is at the 25th percentile among 137 Case Management providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$55.1M

$55,069,034

Total Claims

465K

Beneficiaries

158K

2.9 claims/patient

Avg Cost/Claim

$118

Monthly Spending Trend

Yearly Spending

2018

$5.3M

+84%

2019

$9.8M

-15%

2020

$8.3M

+12%

2021

$9.3M

-5%

2022

$8.8M

-1%

2023

$8.6M

-42%

2024

$5.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (S5140 (Foster care, adult; per diem)) accounts for 49% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

S5140Foster care, adult; per diemSee all providers →

$27.1M

23K claims

$1,193.87

$252.32

4.7×

Top 25%

S5140Top 25%

Foster care, adult; per diem

$27.1M

23K claims · 49.1%

Your Cost: $1,193.87/claim|Median: $252.32

4.7× median

S5130Homemaker service, NOS; per 15 minSee all providers →

$9.3M

84K claims

$111.62

$48.76

2.3×

Top 25%

S5130Top 25%

Homemaker service, NOS; per 15 min

$9.3M

84K claims · 16.9%

Your Cost: $111.62/claim|Median: $48.76

2.3× median

T1019Personal care services, per 15 minSee all providers →

$5.1M

55K claims

$92.18

$82.47

1.1×

Normal range

T1019Normal range

Personal care services, per 15 min

$5.1M

55K claims · 9.2%

Your Cost: $92.18/claim|Median: $82.47

1.1× median

S5135Companion care, adult, per diemSee all providers →

$4.1M

22K claims

$189.85

$52.25

3.6×

Top 10%

S5135Top 10%

Companion care, adult, per diem

$4.1M

22K claims · 7.5%

Your Cost: $189.85/claim|Median: $52.25

3.6× median

T2022Case management, per monthSee all providers →

$3.6M

65K claims

$54.38

$202.77

0.3×

Normal range

T2022Normal range

Case management, per month

$3.6M

65K claims · 6.5%

Your Cost: $54.38/claim|Median: $202.77

0.3× median

S5170Homemaker service, NOS, per diemSee all providers →

$3.1M

172K claims

$17.84

$19.89

0.9×

Normal range

S5170Normal range

Homemaker service, NOS, per diem

$3.1M

172K claims · 5.6%

Your Cost: $17.84/claim|Median: $19.89

0.9× median

G0156Home health aide services, per visitSee all providers →

$1.2M

3,126 claims

$385.05

$39.42

9.8×

Top 5%

G0156Top 5%

Home health aide services, per visit

$1.2M

3,126 claims · 2.2%

Your Cost: $385.05/claim|Median: $39.42

9.8× median

S5161Emergency response system, per monthSee all providers →

$723K

30K claims

$23.94

$29.97

0.8×

Normal range

S5161Normal range

Emergency response system, per month

$723K

30K claims · 1.3%

Your Cost: $23.94/claim|Median: $29.97

0.8× median

S5120Chore services, per 15 minSee all providers →

$358K

6,923 claims

$51.68

$70.19

0.7×

Normal range

S5120Normal range

Chore services, per 15 min

$358K

6,923 claims · 0.6%

Your Cost: $51.68/claim|Median: $70.19

0.7× median

S5102Day care services, adult; per 15 minSee all providers →

$122K

603 claims

$201.56

$81.10

2.5×

Top 10%

S5102Top 10%

Day care services, adult; per 15 min

$122K

603 claims · 0.2%

Your Cost: $201.56/claim|Median: $81.10

2.5× median

T2023Community transition, waiver; per serviceSee all providers →

$114K

1,197 claims

$95.00

$300.13

0.3×

Normal range

T2023Normal range

Community transition, waiver; per service

$114K

1,197 claims · 0.2%

Your Cost: $95.00/claim|Median: $300.13

0.3× median

S5165Home modifications, per serviceSee all providers →

$113K

646 claims

$175.08

$2,196.32

0.1×

Normal range

S5165Normal range

Home modifications, per service

$113K

646 claims · 0.2%

Your Cost: $175.08/claim|Median: $2,196.32

0.1× median

T1023Screening to determine appropriateness of consideration for programSee all providers →

$75K

677 claims

$110.96

$106.70

1.0×

Normal range

T1023Normal range

Screening to determine appropriateness of consideration for program

$75K

677 claims · 0.1%

Your Cost: $110.96/claim|Median: $106.70

1.0× median

T2003Non-emergency transport; encounter/tripSee all providers →

$50K

534 claims

$93.98

$21.70

4.3×

Top 10%

T2003Top 10%

Non-emergency transport; encounter/trip

$50K

534 claims · 0.1%

Your Cost: $93.98/claim|Median: $21.70

4.3× median

G0299Skilled nursing services, home health, per visit, RNSee all providers →

$42K

449 claims

$93.82

$51.67

1.8×

Top 25%

G0299Top 25%

Skilled nursing services, home health, per visit, RN

$42K

449 claims · 0.1%

Your Cost: $93.82/claim|Median: $51.67

1.8× median

S5125Attendant care services, per 15 minSee all providers →

$23K

68 claims

$332.79

$82.34

4.0×

Top 10%

S5125Top 10%

Attendant care services, per 15 min

$23K

68 claims · 0.0%

Your Cost: $332.79/claim|Median: $82.34

4.0× median

A0100Non-emergency transportation; per tripSee all providers →

$8K

64 claims

$127.34

$24.72

5.2×

Top 5%

A0100Top 5%

Non-emergency transportation; per trip

$8K

64 claims · 0.0%

Your Cost: $127.34/claim|Median: $24.72

5.2× median

T2005Non-emergency transportation, per diemSee all providers →

$2K

13 claims

$124.46

$132.60

0.9×

Normal range

T2005Normal range

Non-emergency transportation, per diem

$2K

13 claims · 0.0%

Your Cost: $124.46/claim|Median: $132.60

0.9× median

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