Is MASSACHUSETTS MENTOR LLC flagged for Medicaid fraud?

MASSACHUSETTS MENTOR LLC (NPI: 1811021090) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does MASSACHUSETTS MENTOR LLC bill Medicaid?

MASSACHUSETTS MENTOR LLC received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Foster Care Agency provider. Located in BROCKTON, MA.

What is NPI 1811021090?

NPI 1811021090 is the National Provider Identifier for MASSACHUSETTS MENTOR LLC. They are a Foster Care Agency provider based in BROCKTON, MA. This NPI is registered with the CMS NPI Registry.

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MASSACHUSETTS MENTOR LLC

Foster Care Agency·BROCKTON, MA·NPI: 1811021090Share

Compared to Foster Care Agency Peers

Total spending distribution among 10 providers in this specialty

P25MedianP75P90

This provider's total spending of $95.8M is at the 75th percentile among 10 Foster Care Agency providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$95.8M

$95,777,038

Total Claims

1.1M

Beneficiaries

66K

17.0 claims/patient

Avg Cost/Claim

$86

Monthly Spending Trend

Yearly Spending

2018

$15.3M

-4%

2019

$14.7M

-9%

2020

$13.3M

+12%

2021

$14.9M

-9%

2022

$13.5M

-7%

2023

$12.5M

-8%

2024

$11.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (S5140 (Foster care, adult; per diem)) accounts for 71% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

S5140Foster care, adult; per diemSee all providers →

$68.2M

872K claims

$78.23

$252.32

0.3×

Normal range

S5140Normal range

Foster care, adult; per diem

$68.2M

872K claims · 71.3%

Your Cost: $78.23/claim|Median: $252.32

0.3× median

T1027Family training and counseling, per 15 minutesSee all providers →

$18.4M

183K claims

$101.00

$53.00

1.9×

Top 25%

T1027Top 25%

Family training and counseling, per 15 minutes

$18.4M

183K claims · 19.3%

Your Cost: $101.00/claim|Median: $53.00

1.9× median

H2019Therapeutic behavioral services, per 15 minSee all providers →

$8.6M

56K claims

$154.19

$84.12

1.8×

Top 25%

H2019Top 25%

Therapeutic behavioral services, per 15 min

$8.6M

56K claims · 8.9%

Your Cost: $154.19/claim|Median: $84.12

1.8× median

90834Psychotherapy, 45 minutesSee all providers →

$229K

2,593 claims

$88.40

$63.65

1.4×

Top 25%

90834Top 25%

Psychotherapy, 45 minutes

$229K

2,593 claims · 0.2%

Your Cost: $88.40/claim|Median: $63.65

1.4× median

90837Psychotherapy, 60 minutesSee all providers →

$178K

1,776 claims

$100.09

$85.66

1.2×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$178K

1,776 claims · 0.2%

Your Cost: $100.09/claim|Median: $85.66

1.2× median

H0046Mental health services, not otherwise specifiedSee all providers →

$77K

1,533 claims

$50.07

$85.02

0.6×

Normal range

H0046Normal range

Mental health services, not otherwise specified

$77K

1,533 claims · 0.1%

Your Cost: $50.07/claim|Median: $85.02

0.6× median

90887Interpretation/explanation of resultsSee all providers →

$21K

604 claims

$35.17

$47.55

0.7×

Normal range

90887Normal range

Interpretation/explanation of results

$21K

604 claims · 0.0%

Your Cost: $35.17/claim|Median: $47.55

0.7× median

90882Environmental interventionSee all providers →

$17K

365 claims

$46.85

$45.05

1.0×

Normal range

90882Normal range

Environmental intervention

$17K

365 claims · 0.0%

Your Cost: $46.85/claim|Median: $45.05

1.0× median

90832Psychotherapy, 30 minutesSee all providers →

$9K

202 claims

$44.75

$41.28

1.1×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$9K

202 claims · 0.0%

Your Cost: $44.75/claim|Median: $41.28

1.1× median

90791Psychiatric diagnostic evaluationSee all providers →

$2K

12 claims

$144.00

$99.21

1.5×

Top 25%

90791Top 25%

Psychiatric diagnostic evaluation

$2K

12 claims · 0.0%

Your Cost: $144.00/claim|Median: $99.21

1.5× median

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