Is FAMILYLINKS, INC flagged for Medicaid fraud?

FAMILYLINKS, INC (NPI: 1093832214) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does FAMILYLINKS, INC bill Medicaid?

FAMILYLINKS, INC 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 PITTSBURGH, PA.

What is NPI 1093832214?

NPI 1093832214 is the National Provider Identifier for FAMILYLINKS, INC. They are a Community/Behavioral Health provider based in PITTSBURGH, PA. This NPI is registered with the CMS NPI Registry.

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FAMILYLINKS, INC

Community/Behavioral Health·PITTSBURGH, PA·NPI: 1093832214Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $48.5M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$48.5M

$48,531,953

Total Claims

602K

Beneficiaries

204K

2.9 claims/patient

Avg Cost/Claim

$81

Monthly Spending Trend

Yearly Spending

2018

$5.3M

+6%

2019

$5.7M

+5%

2020

$5.9M

+20%

2021

$7.1M

+14%

2022

$8.1M

+1%

2023

$8.2M

+0%

2024

$8.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (W7210 (Waiver service, state-specific code)) accounts for 67% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

W7210Waiver service, state-specific codeSee all providers →

$32.5M

440K claims

$73.99

$80.31

0.9×

Normal range

W7210Normal range

Waiver service, state-specific code

$32.5M

440K claims · 67.1%

Your Cost: $73.99/claim|Median: $80.31

0.9× median

T1017Targeted case management, per 15 minSee all providers →

$6.1M

77K claims

$79.65

$69.56

1.1×

Normal range

T1017Normal range

Targeted case management, per 15 min

$6.1M

77K claims · 12.6%

Your Cost: $79.65/claim|Median: $69.56

1.1× median

90834Psychotherapy, 45 minutesSee all providers →

$4.2M

44K claims

$95.00

$63.65

1.5×

Top 25%

90834Top 25%

Psychotherapy, 45 minutes

$4.2M

44K claims · 8.7%

Your Cost: $95.00/claim|Median: $63.65

1.5× median

H0004Behavioral health counseling & therapy, per 15 minSee all providers →

$2.9M

8,124 claims

$354.48

$74.63

4.7×

Top 5%

H0004Top 5%

Behavioral health counseling & therapy, per 15 min

$2.9M

8,124 claims · 5.9%

Your Cost: $354.48/claim|Median: $74.63

4.7× median

90853Group psychotherapySee all providers →

$457K

11K claims

$43.07

$25.02

1.7×

Top 25%

90853Top 25%

Group psychotherapy

$457K

11K claims · 0.9%

Your Cost: $43.07/claim|Median: $25.02

1.7× median

90832Psychotherapy, 30 minutesSee all providers →

$438K

9,675 claims

$45.27

$41.28

1.1×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$438K

9,675 claims · 0.9%

Your Cost: $45.27/claim|Median: $41.28

1.1× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$288K

1,731 claims

$166.66

$53.41

3.1×

Top 5%

99214Top 5%

Office/outpatient visit, est. patient, mod-high complexity

$288K

1,731 claims · 0.6%

Your Cost: $166.66/claim|Median: $53.41

3.1× median

99211Office/outpatient visit, minimal complexitySee all providers →

$281K

2,245 claims

$124.96

$12.93

9.7×

Top 5%

99211Top 5%

Office/outpatient visit, minimal complexity

$281K

2,245 claims · 0.6%

Your Cost: $124.96/claim|Median: $12.93

9.7× median

90837Psychotherapy, 60 minutesSee all providers →

$263K

2,399 claims

$109.43

$85.66

1.3×

Top 25%

90837Top 25%

Psychotherapy, 60 minutes

$263K

2,399 claims · 0.5%

Your Cost: $109.43/claim|Median: $85.66

1.3× median

90792Psychiatric diagnostic evaluation with medical servicesSee all providers →

$262K

1,553 claims

$168.45

$108.91

1.5×

Top 25%

90792Top 25%

Psychiatric diagnostic evaluation with medical services

$262K

1,553 claims · 0.5%

Your Cost: $168.45/claim|Median: $108.91

1.5× median

H2036Alcohol/drug treatment, per hourSee all providers →

$224K

586 claims

$381.67

$253.79

1.5×

Normal range

H2036Normal range

Alcohol/drug treatment, per hour

$224K

586 claims · 0.5%

Your Cost: $381.67/claim|Median: $253.79

1.5× median

T2048Behavioral health; long-term residential, per diemSee all providers →

$213K

932 claims

$228.74

$1,437.23

0.2×

Normal range

T2048Normal range

Behavioral health; long-term residential, per diem

$213K

932 claims · 0.4%

Your Cost: $228.74/claim|Median: $1,437.23

0.2× median

97155Adaptive behavior treatment with protocol modification, per 15 minutesSee all providers →

$173K

676 claims

$256.40

$146.45

1.8×

Top 10%

97155Top 10%

Adaptive behavior treatment with protocol modification, per 15 minutes

$173K

676 claims · 0.4%

Your Cost: $256.40/claim|Median: $146.45

1.8× median

90847Family psychotherapy with patient, 50 minSee all providers →

$95K

1,410 claims

$67.42

$77.33

0.9×

Normal range

90847Normal range

Family psychotherapy with patient, 50 min

$95K

1,410 claims · 0.2%

Your Cost: $67.42/claim|Median: $77.33

0.9× median

97153Adaptive behavior treatment by protocol, per 15 minSee all providers →

$51K

279 claims

$182.79

$167.38

1.1×

Normal range

97153Normal range

Adaptive behavior treatment by protocol, per 15 min

$51K

279 claims · 0.1%

Your Cost: $182.79/claim|Median: $167.38

1.1× median

90846Family psychotherapy without patient, 50 minSee all providers →

$11K

237 claims

$46.18

$76.61

0.6×

Normal range

90846Normal range

Family psychotherapy without patient, 50 min

$11K

237 claims · 0.0%

Your Cost: $46.18/claim|Median: $76.61

0.6× median

T1016Case management, each 15 minSee all providers →

$8K

71 claims

$111.22

$49.62

2.2×

Top 25%

T1016Top 25%

Case management, each 15 min

$8K

71 claims · 0.0%

Your Cost: $111.22/claim|Median: $49.62

2.2× median

H0001Alcohol and/or drug assessmentSee all providers →

$7K

62 claims

$119.67

$94.22

1.3×

Normal range

H0001Normal range

Alcohol and/or drug assessment

$7K

62 claims · 0.0%

Your Cost: $119.67/claim|Median: $94.22

1.3× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$2K

17 claims

$128.68

$37.81

3.4×

Top 5%

99213Top 5%

Office/outpatient visit, est. patient, low-mod complexity

$2K

17 claims · 0.0%

Your Cost: $128.68/claim|Median: $37.81

3.4× median

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