Is COMMUNITY LIVING SERVICES, INC. flagged for Medicaid fraud?

COMMUNITY LIVING SERVICES, INC. (NPI: 1114081254) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does COMMUNITY LIVING SERVICES, INC. bill Medicaid?

COMMUNITY LIVING SERVICES, 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 WAYNE, MI.

What is NPI 1114081254?

NPI 1114081254 is the National Provider Identifier for COMMUNITY LIVING SERVICES, INC.. They are a Community/Behavioral Health provider based in WAYNE, MI. This NPI is registered with the CMS NPI Registry.

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COMMUNITY LIVING SERVICES, INC.

Community/Behavioral Health·WAYNE, MI·NPI: 1114081254Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $44.0M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$44.0M

$44,022,578

Total Claims

142K

Beneficiaries

117K

1.2 claims/patient

Avg Cost/Claim

$310

Monthly Spending Trend

Yearly Spending

2018

$7.7M

-98%

2019

$142K

+63%

2020

$232K

+28%

2021

$296K

+1192%

2022

$3.8M

+307%

2023

$15.6M

+4%

2024

$16.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (T1017 (Targeted case management, per 15 min)) accounts for 69% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1017Targeted case management, per 15 minSee all providers →

$30.5M

79K claims

$386.61

$69.56

5.6×

Top 5%

T1017Top 5%

Targeted case management, per 15 min

$30.5M

79K claims · 69.2%

Your Cost: $386.61/claim|Median: $69.56

5.6× median

T1016Case management, each 15 minSee all providers →

$7.7M

25K claims

$311.68

$49.62

6.3×

Top 10%

T1016Top 10%

Case management, each 15 min

$7.7M

25K claims · 17.4%

Your Cost: $311.68/claim|Median: $49.62

6.3× median

H0031Mental health assessment by non-physicianSee all providers →

$2.7M

11K claims

$243.05

$96.18

2.5×

Top 10%

H0031Top 10%

Mental health assessment by non-physician

$2.7M

11K claims · 6.2%

Your Cost: $243.05/claim|Median: $96.18

2.5× median

S0280Medical home program, comprehensive care managementSee all providers →

$1.2M

4,570 claims

$263.31

$48.38

5.4×

Top 10%

S0280Top 10%

Medical home program, comprehensive care management

$1.2M

4,570 claims · 2.7%

Your Cost: $263.31/claim|Median: $48.38

5.4× median

H0032Mental health service plan developmentSee all providers →

$627K

3,202 claims

$195.90

$80.64

2.4×

Top 10%

H0032Top 10%

Mental health service plan development

$627K

3,202 claims · 1.4%

Your Cost: $195.90/claim|Median: $80.64

2.4× median

H2000Comprehensive multidisciplinary evaluationSee all providers →

$500K

2,153 claims

$232.10

$114.71

2.0×

Top 25%

H2000Top 25%

Comprehensive multidisciplinary evaluation

$500K

2,153 claims · 1.1%

Your Cost: $232.10/claim|Median: $114.71

2.0× median

T2025Waiver services, NOS; per 15 minSee all providers →

$288K

5,750 claims

$50.01

$124.39

0.4×

Normal range

T2025Normal range

Waiver services, NOS; per 15 min

$288K

5,750 claims · 0.7%

Your Cost: $50.01/claim|Median: $124.39

0.4× median

T1020Personal care services, per diemSee all providers →

$200K

7,221 claims

$27.69

$296.27

0.1×

Normal range

T1020Normal range

Personal care services, per diem

$200K

7,221 claims · 0.5%

Your Cost: $27.69/claim|Median: $296.27

0.1× median

96110Developmental screening, per standardized instrumentSee all providers →

$75K

571 claims

$131.93

$9.10

14.5×

Top 1%

96110Top 1%

Developmental screening, per standardized instrument

$75K

571 claims · 0.2%

Your Cost: $131.93/claim|Median: $9.10

14.5× median

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

$61K

670 claims

$90.81

$53.41

1.7×

Top 25%

99214Top 25%

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

$61K

670 claims · 0.1%

Your Cost: $90.81/claim|Median: $53.41

1.7× median

T1001Nursing assessment/evaluation, per visitSee all providers →

$58K

628 claims

$92.49

$49.05

1.9×

Top 25%

T1001Top 25%

Nursing assessment/evaluation, per visit

$58K

628 claims · 0.1%

Your Cost: $92.49/claim|Median: $49.05

1.9× median

T1002RN services, per 15 minutesSee all providers →

$56K

1,800 claims

$30.90

$37.42

0.8×

Normal range

T1002Normal range

RN services, per 15 minutes

$56K

1,800 claims · 0.1%

Your Cost: $30.90/claim|Median: $37.42

0.8× median

E1399Durable medical equipment, miscellaneousSee all providers →

$45K

65 claims

$686.69

$104.06

6.6×

Top 25%

E1399Top 25%

Durable medical equipment, miscellaneous

$45K

65 claims · 0.1%

Your Cost: $686.69/claim|Median: $104.06

6.6× median

H0046Mental health services, not otherwise specifiedSee all providers →

$14K

394 claims

$34.41

$85.02

0.4×

Normal range

H0046Normal range

Mental health services, not otherwise specified

$14K

394 claims · 0.0%

Your Cost: $34.41/claim|Median: $85.02

0.4× median

H2021Community-based wrap-around services, per 15 minSee all providers →

$12K

21 claims

$557.25

$169.11

3.3×

Top 25%

H2021Top 25%

Community-based wrap-around services, per 15 min

$12K

21 claims · 0.0%

Your Cost: $557.25/claim|Median: $169.11

3.3× median

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

$8K

147 claims

$53.75

$37.81

1.4×

Top 25%

99213Top 25%

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

$8K

147 claims · 0.0%

Your Cost: $53.75/claim|Median: $37.81

1.4× median

90791Psychiatric diagnostic evaluationSee all providers →

$7K

31 claims

$216.86

$99.21

2.2×

Top 5%

90791Top 5%

Psychiatric diagnostic evaluation

$7K

31 claims · 0.0%

Your Cost: $216.86/claim|Median: $99.21

2.2× median

S9445 See all providers →

$6K

73 claims

$76.88

$12.72

6.0×

Top 10%

S9445Top 10%

$6K

73 claims · 0.0%

Your Cost: $76.88/claim|Median: $12.72

6.0× median

H0002Behavioral health screeningSee all providers →

$2K

27 claims

$60.00

$38.77

1.5×

Normal range

H0002Normal range

Behavioral health screening

$2K

27 claims · 0.0%

Your Cost: $60.00/claim|Median: $38.77

1.5× median

Other Top Providers in Michigan

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$2.68B

Centria Healthcare LLC

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$590.6M

Integra Partners LLC

Orthotic Fitter

$422.3M

Community Mental Health Authority of Clinton Eaton Ingham Counties

Clinic/Center Mental Health (Including Community

$368.4M

Macomb Oakland Regional Center Inc.

Community/Behavioral Health

$342.6M

Similar Providers

Other top providers in Community/Behavioral Health

Guardiantrac. LLC

Sturgis, MI

$2.68B

Alabama Department of Mental Health and Mental Retardation

Montgomery, AL

$2.25B

County of Santa Clara

San Jose, CA

$1.73B

County of Riverside

Riverside, CA

$1.40B

City & County of San Francisco

San Francisco, CA

$1.34B

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