NORTHEAST ARC INC
NPI 1679570113, organization, Danvers, MA, Home Health
- Billed more hands-on hours than a day holds in 5 months, peaking at 27.8 hours per day across 1 billing organization.
- Medicaid dollars per patient on code T1002 ($7965 per patient-month) sit in the top 5% of every provider billing that code.
Hours billed per day
Medicaid billing converted into hours of hands-on care per day. The lower bound counts one unit per claim line and needs no price; the other two divide dollars by a unit price, the conservative one at 1.5 times the price. The clinician on the claim may be a supervisor under state rules, so billing organizations are counted too.
| month | what was found | hours per day, lower bound | hours per day, at price | hours per day, conservative | per working day | patients | billing organizations | codes | paid |
|---|---|---|---|---|---|---|---|---|---|
| May 2022 | More than 24 hours per patient per day | 2.0 | 474.0 | 316.0 | 0.0 | 13 | 1 | T1002 | $129K |
| Jul 2022 | More than 24 hours per patient per day | 2.7 | 598.3 | 398.8 | 0.0 | 15 | 1 | T1002 | $162K |
| Sep 2022 | More than 24 hours per patient per day | 3.0 | 564.9 | 376.6 | 0.0 | 15 | 1 | T1002 | $148K |
| Oct 2022 | More than 24 hours per patient per day | 2.5 | 516.7 | 344.4 | 0.0 | 14 | 1 | T1002 | $140K |
| Nov 2022 | More than 24 hours per patient per day | 3.0 | 583.1 | 388.7 | 0.0 | 14 | 1 | T1002 | $153K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | NORTHEAST ARC INC |
| Type | Organization |
| Status | Active |
| NPI issued | June 30, 2005, last updated October 8, 2018 |
| Practice location | 89 NEWBURY STREET,, SUITE 202,, Danvers, MA 01923, 978-646-5200 |
| Authorized official | JOANN SIMONS (President & CEO) |
| Specialties | Home Health (251E00000X, primary) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| T1002 | RN services up to 15 min | $7.4M | 89% | $8K | $68 (top 5% from $2K) | 99th percentile | |
| T1003 | LPN/LVN services up to 15 min | $901K | 11% | $7K | $54 (top 5% from $10K) | 88th percentile | |
| G0299 | Direct skilled nursing by RN in home health or hospice each 15 min | $35K | 0% | $282 | $151 (top 5% from $742) | 71st percentile |
In this area
11 providers in Essex County, MA carry an indicator in the public record, with $5.6M at stake between them. The most common is named in an enforcement record, on 4 of them, followed by part of a provider network on 4. 1 is tier 1: documented action, then payment.
| tier | provider | at stake | why |
|---|---|---|---|
| 1 | DONALD MARTEL Georgetown, MA, ranked 583 | $0 |
|
| 3 | LOWN ACQUISITION LLC Lawrence, MA, ranked 1164 | $456K |
|
| 3 | JEWISH REHABILITATION CENTER FOR AGED OF THE NORTH SHORE, INC. Peabody, MA, ranked 1209 | $341K |
|
| 3 | RACHEL PEZZUTO Peabody, MA, ranked 1331 | $126K |
|
| 3 | RJ RECOVERY LLC Peabody, MA, ranked 1434 | $44K |
|
| 3 | ALLIANCE HEALTH OF MASSACHUSETTS INC Peabody, MA, ranked 1506 | $17K |
|
| 3 | NEWBURYPORT OPCO, LLC Newburyport, MA, ranked 5803 | $0 |
|
| 3 | RECOVERY JOURNEY SERVICES INC Peabody, MA, ranked 6516 | $0 |
|
Recent enforcement in MA
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.