Mental Health Cooperative INC
Clinic/Center Mental Health (Including Community Mental Health Center)
Nashville, Tennessee
NPI: 1083632897
Risk Tier
High
Total Paid
$363.8M
$363,787,663
Total Claims
5.7M
Beneficiaries
4.3M
Avg Cost/Claim
$64.34
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 $176.37 per claim for S0280 (Medical home program, comprehensive care management), which is 3.6× the national median of $48.38.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 3 procedure codes: T2022 at 1.9× median, H2015 at 3.4× 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