Massachusetts Medicaid Spending
Massachusetts's Medicaid program paid $30.75B across 78 providers from 2018–2024. 77 providers in Massachusetts are flagged on our risk watchlist. The top procedure code is T2016 (Habilitation, residential, waiver; per diem) at $8.89B.
Total Spending
$30.75B
Total Claims
354.5M
Top Providers
78
Beneficiaries
166.9M
Flagged Providers
77
on risk watchlist
Avg Per Provider
$394.3M
across 78 providers
Yearly Spending Trend
Top Providers in Massachusetts
Tempus Unlimited, Inc.
Voluntary or Charitable · Stoughton
$5.57B
63.5M claims
Department of Developmental Services
Case Management · Southbridge
$1.35B
1.7M claims
Commonwealth of Massachusets
Case Management · Beverly
$1.14B
1.6M claims
Commonwealth of Mass-dds
Case Management · Hyde Park
$1.10B
1.4M claims
Stavros Center for Independent Living Inc.
Case Management · Amherst
$1.04B
11.2M claims
Public Partnerships-colorado Inc.
Supports Brokerage · Boston
$887.5M
5.6M claims
Commonwealth of Massachusetts-dds
Case Management · Hyannis
$881.9M
781K claims
Boston Medical Center Corporation
General Acute Care Hospital · Boston
$768.5M
14.5M claims
Northeast Arc Inc.
Community/Behavioral Health · Danvers
$733.1M
9.3M claims
Caregiver Homes of Massachusetts INC
Case Management · Auburn
$598.9M
7.5M claims
Tempus Unlimited, Inc.
Voluntary or Charitable · Stoughton
$554.9M
6.6M claims
Umass Memorial Medical Center, Inc.
General Acute Care Hospital · Worcester
$491.0M
9.7M claims
Ma-department of Social Services-rehab
Public Health or Welfare · Boston
$490.7M
226K claims
Department of Developmental Services
Case Management · Springfield
$465.4M
751K claims
Commonwealth of Massachusetts-dds
Case Management · S Weymouth
$447.5M
579K claims
Commonwealth of Massachusetts
Case Management · Haverhill
$444.0M
584K claims
The General Hospital Corporation
General Acute Care Hospital · Boston
$437.8M
10.3M claims
Commonwealth of Mass-dds
Case Management · Walpole
$435.8M
658K claims
Baystate Medical Center INC
General Acute Care Hospital · Springfield
$374.5M
7.8M claims
Innovive Health of Massachusetts LLC
Home Health · Medford
$363.5M
6.6M claims
Cambridge Public Health Commission
General Acute Care Hospital · Cambridge
$352.6M
7.9M claims
Department of Developmental Services
Case Management · Fitchburg
$352.2M
390K claims
Commonwealth of Mass-dds
Case Management · Framingham
$350.1M
342K claims
Commonwealth of Massachusetts
Case Management · Arlington
$334.3M
273K claims
Children's Hospital Corporation
Clinic/Center · Boston
$330.8M
4.7M claims
Commonwealth of Massachusetts-dds
Case Management · Taunton
$326.7M
277K claims
Commonwealth of Massachusetts-dds
Case Management · Plymouth
$316.6M
324K claims
Commonwealth of Massachusetts-dds
Case Management · Brockton
$309.7M
401K claims
Commonwealth of Massachusetts
Case Management · Lowell
$306.2M
326K claims
Commonwealth of Mass-dds
Case Management · Somerville
$298.4M
334K claims
Tempus Unlimited, Inc.
Voluntary or Charitable · Stoughton
$290.8M
8.7M claims
Department of Developmental Services
Case Management · Worcester
$282.1M
304K claims
Commonwealth of Massachusetts
Case Management · Wakefield
$280.9M
271K claims
Department of Developmental Services
Case Management · Pittsfield
$275.0M
341K claims
Beth Israel Deaconess Medical Center, Inc.
General Acute Care Hospital · Boston
$270.3M
7.8M claims
Brigham & Womens Hospital Inc.
General Acute Care Hospital · Boston
$252.6M
6.3M claims
Department of Developmental Services
Case Management · Holyoke
$249.6M
408K claims
Dana-farber Cancer Institute, Inc.
General Acute Care Hospital · Boston
$240.2M
2.4M claims
Behavioral Health Network INC
Clinic/Center Mental Health (Including Community · Springfield
$238.6M
2.4M claims
Commonwealth of Massachusetts-dds
Case Management · New Bedford
$226.0M
377K claims
Habit Opco, LLC
Case Management · Springfield
$224.1M
9.6M claims
Mystic Valley Elder Services Inc.
Case Management · Malden
$222.9M
999K claims
Commonwealth of Massachusetts-dds
Case Management · Fall River
$218.1M
216K claims
Commonwealth of Massachusetts
Community/Behavioral Health · Tewksbury
$212.8M
677K claims
Quest Diagnostics LLC
Clinical Medical Laboratory · Marlborough
$209.7M
45.9M claims
Commonwealth of Massachusetts-dmh
Community/Behavioral Health · Brockton
$208.0M
545K claims
Department of Developmental Services
Case Management · Northampton
$204.9M
322K claims
Centrus Premier Home Care INC
Home Health · Plymouth
$201.0M
678K claims
Quest Diagnostics Massachusetts LLC
Clinical Medical Laboratory · Marlborough
$199.9M
17.5M claims
Spectrum Health Systems, INC
Clinic/Center, Rehabilitation, Substance Use Disor · Worcester
$187.4M
7.5M claims
Flagged Providers in Massachusetts
Department of Developmental Services
$1.35B
2 flags
Commonwealth of Massachusets
$1.14B
2 flags
Commonwealth of Mass-dds
$1.10B
2 flags
Commonwealth of Massachusetts-dds
$881.9M
2 flags
Boston Medical Center Corporation
$768.5M
2 flags
Department of Developmental Services
$465.4M
2 flags
Commonwealth of Massachusetts-dds
$447.5M
2 flags
Commonwealth of Massachusetts
$444.0M
2 flags
Commonwealth of Mass-dds
$435.8M
2 flags
Baystate Medical Center INC
$374.5M
2 flags
Showing 10 of 77 flagged providers. View full risk watchlist
Spending by Top Procedures
Top Procedures in Massachusetts
| Code | Total Paid |
|---|---|
| T2016 Habilitation, residential, waiver; per diem | $8.89B |
| T1019 Personal care services, per 15 min | $7.80B |
| T2025 Waiver services, NOS; per 15 min | $864.1M |
| S5140 Foster care, adult; per diem | $597.9M |
| S5100 Day care services, adult, per half day | $555.0M |
| H0018 Behavioral health; short-term residential, per diem | $492.8M |
| H2018 Psychosocial rehabilitation services, per diem | $392.2M |
| 99509 Home visit, assistance w/ ADLs | $347.6M |
| T2023 Community transition, waiver; per service | $307.9M |
| H2015 Comprehensive community support services, per 15 min | $294.4M |
| T1502 Administration of oral, intramuscular, or subcutaneous medication | $274.7M |
| 99214 Office/outpatient visit, est. patient, mod-high complexity | $216.3M |
| H0020 Alcohol/drug services; methadone administration | $211.2M |
| 99211 Office/outpatient visit, minimal complexity | $210.5M |
| 99213 Office/outpatient visit, est. patient, low-mod complexity | $195.7M |