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

Wall Residences LLC

Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities

Floyd, Virginia

NPI: 1063436723

Risk Tier

High

Total Paid

$481.6M

$481,636,326

Total Claims

89K

Beneficiaries

70K

Avg Cost/Claim

$5,383.28

Active billing period: 83 months (2018-01 to 2024-11)

Statistical Fraud Flags (2)

Cost Outlier

Billing over 3× the national median for specific procedure codes.

Bills $8,178.90 per claim for H2022 (Community-based wrap-around services, per diem), which is 24.3× the national median of $336.31.

Rate Outlier

Billing above the 90th percentile across multiple procedure codes simultaneously.

Billing above the 90th percentile for 12 procedure codes: T2033 at 6.0× median, H2022 at 24.3× median.

Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.

Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024