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

Moore Center Services Inc.

Early Intervention Provider Agency·Manchester, NH·NPI: 1124231782SharePrint Report

Red Flags Explained

Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:

Cost Outlier

Cost Outlier means this provider charges significantly more per claim than other providers billing the same procedure codes. This could indicate upcoding, inflated charges, or specialized services that justify higher costs.

These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.

Risk Assessment

Bills $1,143.17 per claim for T2025 (Waiver services, NOS; per 15 min) — 9.2× the national median of $124.39.

This is a statistical summary, not an accusation. See our methodology.

Compared to Early Intervention Provider Agency Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $374.3M is at the 99th percentile among 14 Early Intervention Provider Agency providers.

Above 99th percentile for this specialty — higher spending than 13 of 14 peers

Active Billing Period:2018-012024-12(84 months)

Total Paid

$374.3M

$374,255,589

Total Claims

1.4M

Beneficiaries

165K

8.6 claims/patient

Avg Cost/Claim

$264

#175 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Moore Center Services Inc. is a Early Intervention Provider Agency provider based in Manchester, NH. From the 2018–2024 period, this provider received $374.3M in Medicaid payments across 1.4M claims.

Why This Matters

This provider received $374.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 46,781 Medicaid beneficiaries for a full year at average per-enrollee costs.

33% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$47.9M
+13%
2019
$54.4M
+8%
2020
$58.8M
+11%
2021
$65.0M
+2%
2022
$66.1M
-24%
2023
$50.1M
-36%
2024
$32.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 15 distinct procedure codes. The top code (T1020 (Personal care services, per diem)) accounts for 51% of total spending.

T1020Normal range

Personal care services, per diem

$192.2M

583K claims · 51.4%

Your Cost: $329.50/claim|Median: $296.27
1.1× median
T2025Top 5%

Waiver services, NOS; per 15 min

$67.9M

59K claims · 18.1%

Your Cost: $1,143.17/claim|Median: $124.39
9.2× median
T2021Normal range

Day habilitation, waiver; per 15 min

$64.9M

398K claims · 17.3%

Your Cost: $163.32/claim|Median: $150.51
1.1× median
S5140Normal range

Foster care, adult; per diem

$12.1M

150K claims · 3.2%

Your Cost: $80.54/claim|Median: $252.32
0.3× median
T2022Normal range

Case management, per month

$10.5M

43K claims · 2.8%

Your Cost: $243.20/claim|Median: $202.77
1.2× median
T1024Top 25%

Evaluation & treatment, integrated specialty team

$8.5M

33K claims · 2.3%

Your Cost: $257.79/claim|Median: $119.08
2.2× median
H2023Normal range

Supported employment, per 15 min

$7.7M

65K claims · 2.1%

Your Cost: $117.82/claim|Median: $103.94
1.1× median
T2023Normal range

Community transition, waiver; per service

$5.0M

20K claims · 1.3%

Your Cost: $250.54/claim|Median: $300.13
0.8× median
T1005Normal range

Respite care services, per 15 minutes

$2.0M

33K claims · 0.5%

Your Cost: $59.66/claim|Median: $71.40
0.8× median
H2011Normal range

Crisis intervention service, per 15 minutes

$1.3M

6K claims · 0.3%

Your Cost: $206.34/claim|Median: $215.80
1.0× median
T1019Normal range

Personal care services, per 15 min

$955K

12K claims · 0.3%

Your Cost: $77.78/claim|Median: $82.47
0.9× median
H2015Normal range

Comprehensive community support services, per 15 min

$617K

10K claims · 0.2%

Your Cost: $60.01/claim|Median: $96.24
0.6× median
H2019Normal range

Therapeutic behavioral services, per 15 min

$427K

4K claims · 0.1%

Your Cost: $109.98/claim|Median: $84.12
1.3× median
H2014Normal range

Skills training & development, per 15 min

$40K

437 claims · 0.0%

Your Cost: $92.24/claim|Median: $83.88
1.1× median
T1025Normal range

Waiver services, NOS, per 15 minutes

$0

114 claims · 0.0%

Your Cost: $0.00/claim|Median: $227.80