Is EASTER SEALS ARKANSAS flagged for Medicaid fraud?

EASTER SEALS ARKANSAS (NPI: 1013146786) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does EASTER SEALS ARKANSAS bill Medicaid?

EASTER SEALS ARKANSAS received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Day Training, Developmentally Disabled Services provider. Located in LITTLE ROCK, AR.

What is NPI 1013146786?

NPI 1013146786 is the National Provider Identifier for EASTER SEALS ARKANSAS. They are a Day Training, Developmentally Disabled Services provider based in LITTLE ROCK, AR. This NPI is registered with the CMS NPI Registry.

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EASTER SEALS ARKANSAS

Day Training, Developmentally Disabled Services·LITTLE ROCK, AR·NPI: 1013146786Share

Compared to Day Training, Developmentally Disabled Services Peers

Total spending distribution among 56 providers in this specialty

P25MedianP75P90

This provider's total spending of $94.4M is at the 50th percentile among 56 Day Training, Developmentally Disabled Services providers.

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

Total Paid

$94.4M

$94,425,461

Total Claims

872K

Beneficiaries

65K

13.5 claims/patient

Avg Cost/Claim

$108

Monthly Spending Trend

Yearly Spending

2018

$3.6M

+242%

2019

$12.2M

+33%

2020

$16.2M

-14%

2021

$13.9M

-17%

2022

$11.6M

+38%

2023

$16.1M

+29%

2024

$20.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 67% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H2016Comprehensive community support services, per 15 minSee all providers →

$63.5M

372K claims

$170.95

$321.53

0.5×

Normal range

H2016Normal range

Comprehensive community support services, per 15 min

$63.5M

372K claims · 67.3%

Your Cost: $170.95/claim|Median: $321.53

0.5× median

T1015Clinic visit/encounter, all-inclusiveSee all providers →

$21.8M

351K claims

$62.18

$121.16

0.5×

Normal range

T1015Normal range

Clinic visit/encounter, all-inclusive

$21.8M

351K claims · 23.1%

Your Cost: $62.18/claim|Median: $121.16

0.5× median

92507Speech/hearing/language treatmentSee all providers →

$3.5M

54K claims

$64.58

$49.45

1.3×

Normal range

92507Normal range

Speech/hearing/language treatment

$3.5M

54K claims · 3.7%

Your Cost: $64.58/claim|Median: $49.45

1.3× median

97530Therapeutic activities, each 15 minSee all providers →

$2.9M

47K claims

$61.20

$33.11

1.8×

Top 25%

97530Top 25%

Therapeutic activities, each 15 min

$2.9M

47K claims · 3.0%

Your Cost: $61.20/claim|Median: $33.11

1.8× median

97110Therapeutic exercises, each 15 minSee all providers →

$2.2M

37K claims

$59.45

$24.49

2.4×

Top 25%

97110Top 25%

Therapeutic exercises, each 15 min

$2.2M

37K claims · 2.3%

Your Cost: $59.45/claim|Median: $24.49

2.4× median

T2020Day habilitation, waiver; per diemSee all providers →

$220K

1,925 claims

$114.21

$87.34

1.3×

Normal range

T2020Normal range

Day habilitation, waiver; per diem

$220K

1,925 claims · 0.2%

Your Cost: $114.21/claim|Median: $87.34

1.3× median

T2025Waiver services, NOS; per 15 minSee all providers →

$178K

1,055 claims

$168.40

$124.39

1.4×

Normal range

T2025Normal range

Waiver services, NOS; per 15 min

$178K

1,055 claims · 0.2%

Your Cost: $168.40/claim|Median: $124.39

1.4× median

A0120Non-emergency mini-bus transportSee all providers →

$116K

8,857 claims

$13.11

$16.09

0.8×

Normal range

A0120Normal range

Non-emergency mini-bus transport

$116K

8,857 claims · 0.1%

Your Cost: $13.11/claim|Median: $16.09

0.8× median

96112Developmental test administrationSee all providers →

$31K

312 claims

$98.45

$102.95

1.0×

Normal range

96112Normal range

Developmental test administration

$31K

312 claims · 0.0%

Your Cost: $98.45/claim|Median: $102.95

1.0× median

T2028Specialized supply, NOS; per unitSee all providers →

$20K

323 claims

$61.29

$79.30

0.8×

Normal range

T2028Normal range

Specialized supply, NOS; per unit

$20K

323 claims · 0.0%

Your Cost: $61.29/claim|Median: $79.30

0.8× median

T1023Screening to determine appropriateness of consideration for programSee all providers →

$2K

29 claims

$85.66

$106.70

0.8×

Normal range

T1023Normal range

Screening to determine appropriateness of consideration for program

$2K

29 claims · 0.0%

Your Cost: $85.66/claim|Median: $106.70

0.8× median

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