Is ATHENA HOSPICE SERVICES OF MASSACHUSETTS, LLC flagged for Medicaid fraud?

ATHENA HOSPICE SERVICES OF MASSACHUSETTS, LLC (NPI: 1578864377) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does ATHENA HOSPICE SERVICES OF MASSACHUSETTS, LLC bill Medicaid?

ATHENA HOSPICE SERVICES OF MASSACHUSETTS, LLC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Hospice Care, Community Based provider. Located in LAKEVILLE, MA.

What is NPI 1578864377?

NPI 1578864377 is the National Provider Identifier for ATHENA HOSPICE SERVICES OF MASSACHUSETTS, LLC. They are a Hospice Care, Community Based provider based in LAKEVILLE, MA. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

ATHENA HOSPICE SERVICES OF MASSACHUSETTS, LLC

Hospice Care, Community Based·LAKEVILLE, MA·NPI: 1578864377Share

Compared to Hospice Care, Community Based Peers

Total spending distribution among 8 providers in this specialty

P25MedianP75P90

This provider's total spending of $38.4M is at the 25th percentile among 8 Hospice Care, Community Based providers.

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

Total Paid

$38.4M

$38,382,995

Total Claims

308K

Beneficiaries

31K

10.0 claims/patient

Avg Cost/Claim

$125

Monthly Spending Trend

Yearly Spending

2018

$7.2M

-3%

2019

$7.0M

-11%

2020

$6.3M

-12%

2021

$5.5M

-2%

2022

$5.4M

-18%

2023

$4.4M

-41%

2024

$2.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 5 distinct procedure codes. The top code (T2046 (Habilitation, residential, waiver; per month)) accounts for 100% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T2046Habilitation, residential, waiver; per monthSee all providers →

$38.4M

203K claims

$189.44

$1,795.74

0.1×

Normal range

T2046Normal range

Habilitation, residential, waiver; per month

$38.4M

203K claims · 100.0%

Your Cost: $189.44/claim|Median: $1,795.74

0.1× median

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

$10K

30K claims

$0.34

$51.67

0.0×

Normal range

G0299Normal range

Skilled nursing services, home health, per visit, RN

$10K

30K claims · 0.0%

Your Cost: $0.34/claim|Median: $51.67

0.0× median

G0155Services of clinical social worker in home health, per 15 minSee all providers →

$1K

7,713 claims

$0.14

$7.04

0.0×

Normal range

G0155Normal range

Services of clinical social worker in home health, per 15 min

$1K

7,713 claims · 0.0%

Your Cost: $0.14/claim|Median: $7.04

0.0× median

G0156Home health aide services, per visitSee all providers →

62K claims

$0.00

$39.42

—

Normal range

G0156Normal range

Home health aide services, per visit

62K claims · 0.0%

Your Cost: $0.00/claim|Median: $39.42

Q5004 See all providers →

5,813 claims

$0.00

$127.12

—

Normal range

Q5004Normal range

5,813 claims · 0.0%

Your Cost: $0.00/claim|Median: $127.12

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