Is ABOUND HEALTH, LLC flagged for Medicaid fraud?

ABOUND HEALTH, LLC (NPI: 1063798031) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does ABOUND HEALTH, LLC bill Medicaid?

ABOUND HEALTH, LLC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Community/Behavioral Health provider. Located in MINT HILL, NC.

What is NPI 1063798031?

NPI 1063798031 is the National Provider Identifier for ABOUND HEALTH, LLC. They are a Community/Behavioral Health provider based in MINT HILL, NC. This NPI is registered with the CMS NPI Registry.

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ABOUND HEALTH, LLC

Community/Behavioral Health·MINT HILL, NC·NPI: 1063798031Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $49.8M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-12(62 months)

Total Paid

$49.8M

$49,826,819

Total Claims

324K

Beneficiaries

14K

22.7 claims/patient

Avg Cost/Claim

$154

Monthly Spending Trend

Yearly Spending

2018

$157K

+3231%

2020

$5.2M

+54%

2021

$8.0M

+13%

2022

$9.1M

+87%

2023

$17.0M

-39%

2024

$10.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (T2013 (Habilitation, residential, waiver, per hour)) accounts for 45% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T2013Habilitation, residential, waiver, per hourSee all providers →

$22.3M

145K claims

$153.20

$158.23

1.0×

Normal range

T2013Normal range

Habilitation, residential, waiver, per hour

$22.3M

145K claims · 44.7%

Your Cost: $153.20/claim|Median: $158.23

1.0× median

T2012Habilitation, educational; per 15 minSee all providers →

$15.1M

84K claims

$179.87

$177.54

1.0×

Normal range

T2012Normal range

Habilitation, educational; per 15 min

$15.1M

84K claims · 30.2%

Your Cost: $179.87/claim|Median: $177.54

1.0× median

T2016Habilitation, residential, waiver; per diemSee all providers →

$4.5M

31K claims

$147.80

$331.94

0.4×

Normal range

T2016Normal range

Habilitation, residential, waiver; per diem

$4.5M

31K claims · 9.1%

Your Cost: $147.80/claim|Median: $331.94

0.4× median

H2015Comprehensive community support services, per 15 minSee all providers →

$2.9M

27K claims

$109.12

$96.24

1.1×

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

$2.9M

27K claims · 5.9%

Your Cost: $109.12/claim|Median: $96.24

1.1× median

S5150Unskilled respite care, per 15 minSee all providers →

$1.7M

17K claims

$99.93

$84.46

1.2×

Normal range

S5150Normal range

Unskilled respite care, per 15 min

$1.7M

17K claims · 3.4%

Your Cost: $99.93/claim|Median: $84.46

1.2× median

T2020Day habilitation, waiver; per diemSee all providers →

$1.5M

8,255 claims

$181.88

$87.34

2.1×

Top 25%

T2020Top 25%

Day habilitation, waiver; per diem

$1.5M

8,255 claims · 3.0%

Your Cost: $181.88/claim|Median: $87.34

2.1× median

H0045Respite care services, not in the home, per diemSee all providers →

$1.5M

8,653 claims

$173.12

$119.19

1.5×

Normal range

H0045Normal range

Respite care services, not in the home, per diem

$1.5M

8,653 claims · 3.0%

Your Cost: $173.12/claim|Median: $119.19

1.5× median

T2021Day habilitation, waiver; per 15 minSee all providers →

$113K

968 claims

$116.51

$150.51

0.8×

Normal range

T2021Normal range

Day habilitation, waiver; per 15 min

$113K

968 claims · 0.2%

Your Cost: $116.51/claim|Median: $150.51

0.8× median

H2025Ongoing support to maintain employment, per 15 minSee all providers →

$112K

1,288 claims

$87.16

$100.49

0.9×

Normal range

H2025Normal range

Ongoing support to maintain employment, per 15 min

$112K

1,288 claims · 0.2%

Your Cost: $87.16/claim|Median: $100.49

0.9× median

T2013TF See all providers →

$95K

606 claims

$156.60

$168.77

0.9×

Normal range

T2013TFNormal range

$95K

606 claims · 0.2%

Your Cost: $156.60/claim|Median: $168.77

0.9× median

T2016U5 See all providers →

$12K

98 claims

$125.26

1.0×

Normal range

T2016U5Normal range

$12K

98 claims · 0.0%

Your Cost: $125.26/claim|Median: $125.26

1.0× median

S5135Companion care, adult, per diemSee all providers →

$4K

21 claims

$170.37

$52.25

3.3×

Top 25%

S5135Top 25%

Companion care, adult, per diem

$4K

21 claims · 0.0%

Your Cost: $170.37/claim|Median: $52.25

3.3× median

H0045U4 See all providers →

$1K

18 claims

$80.75

1.0×

Top 1%

H0045U4Top 1%

$1K

18 claims · 0.0%

Your Cost: $80.75/claim|Median: $80.75

1.0× median

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