Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Tempus Unlimited, Inc.

Voluntary or Charitable·Stoughton, MA·NPI: 1376609297Share

Compared to Voluntary or Charitable Peers

Total spending distribution among 13 providers in this specialty

P25MedianP75P90

This provider's total spending of $5.57B is at the 99th percentile among 13 Voluntary or Charitable providers.

Above 99th percentile for this specialty — higher spending than 12 of 13 peers

Active Billing Period:2018-012024-12(84 months)

Total Paid

$5.57B

$5,571,605,313

Total Claims

63.5M

Beneficiaries

3.3M

19.0 claims/patient

Avg Cost/Claim

$88

#3 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Tempus Unlimited, Inc. is a Voluntary or Charitable provider based in Stoughton, MA. From the 2018–2024 period, this provider received $5.6B in Medicaid payments across 63.5M claims.

Important Context

  • ℹ️This provider is a known fiscal management organization for self-directed care programs. They manage billing on behalf of thousands of individual caregivers, so aggregate billing is high by design. However, the self-directed care category has been identified as fraud-prone by regulators.

Why This Matters

This provider received $5.6B in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 696,450 Medicaid beneficiaries for a full year at average per-enrollee costs.

201% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$411.8M
+10%
2019
$450.9M
+8%
2020
$486.4M
+10%
2021
$534.0M
+124%
2022
$1.20B
+4%
2023
$1.25B
-1%
2024
$1.24B

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 5 distinct procedure codes. The top code (T1019 (Personal care services, per 15 min)) accounts for 98% of total spending.

T1019Normal range

Personal care services, per 15 min

$5.46B

61.8M claims · 98.1%

Your Cost: $88.41/claim|Median: $82.47
1.1× median
99509Top 25%

Home visit, assistance w/ ADLs

$53.4M

706K claims · 1.0%

Your Cost: $75.67/claim|Median: $51.71
1.5× median
T1020Normal range

Personal care services, per diem

$46.3M

865K claims · 0.8%

Your Cost: $53.48/claim|Median: $296.27
0.2× median
T2022Normal range

Case management, per month

$8.5M

154K claims · 0.2%

Your Cost: $55.01/claim|Median: $202.77
0.3× median
T1023Normal range

Screening to determine appropriateness of consideration for program

$253K

2K claims · 0.0%

Your Cost: $118.14/claim|Median: $106.70
1.1× median