Is HOWARD CENTER INC flagged for Medicaid fraud?

HOWARD CENTER INC (NPI: 1124292529) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does HOWARD CENTER INC bill Medicaid?

HOWARD CENTER INC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Clinic/Center, Public Health, State or Local provider. Located in BURLINGTON, VT.

What is NPI 1124292529?

NPI 1124292529 is the National Provider Identifier for HOWARD CENTER INC. They are a Clinic/Center, Public Health, State or Local provider based in BURLINGTON, VT. This NPI is registered with the CMS NPI Registry.

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HOWARD CENTER INC

Clinic/Center, Public Health, State or Local·BURLINGTON, VT·NPI: 1124292529Share

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

Total Paid

$23.5M

$23,472,388

Total Claims

608K

Beneficiaries

193K

3.2 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018

$7.5M

-62%

2019

$2.8M

-12%

2020

$2.5M

+9%

2021

$2.7M

+7%

2022

$2.9M

-4%

2023

$2.8M

-18%

2024

$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 42 distinct procedure codes. The top code (T1024 (Evaluation & treatment, integrated specialty team)) accounts for 71% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1024Evaluation & treatment, integrated specialty teamSee all providers →

$16.7M

30K claims

$562.74

$119.08

4.7×

Top 5%

T1024Top 5%

Evaluation & treatment, integrated specialty team

$16.7M

30K claims · 71.2%

Your Cost: $562.74/claim|Median: $119.08

4.7× median

H2017Psychosocial rehabilitation services, per 15 minSee all providers →

$1.7M

99K claims

$17.27

$91.63

0.2×

Normal range

H2017Normal range

Psychosocial rehabilitation services, per 15 min

$1.7M

99K claims · 7.3%

Your Cost: $17.27/claim|Median: $91.63

0.2× median

H0019Behavioral health; residential, per diemSee all providers →

$1.6M

354 claims

$4,592.46

$357.16

12.9×

Top 10%

H0019Top 10%

Behavioral health; residential, per diem

$1.6M

354 claims · 6.9%

Your Cost: $4,592.46/claim|Median: $357.16

12.9× median

H0046Mental health services, not otherwise specifiedSee all providers →

$1.6M

6,242 claims

$258.01

$85.02

3.0×

Top 25%

H0046Top 25%

Mental health services, not otherwise specified

$1.6M

6,242 claims · 6.9%

Your Cost: $258.01/claim|Median: $85.02

3.0× median

90837Psychotherapy, 60 minutesSee all providers →

$944K

28K claims

$33.92

$85.66

0.4×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$944K

28K claims · 4.0%

Your Cost: $33.92/claim|Median: $85.66

0.4× median

H2022Community-based wrap-around services, per diemSee all providers →

$364K

373 claims

$974.82

$336.31

2.9×

Normal range

H2022Normal range

Community-based wrap-around services, per diem

$364K

373 claims · 1.5%

Your Cost: $974.82/claim|Median: $336.31

2.9× median

H0040Assertive community treatment, face-to-face, per 15 minutesSee all providers →

$201K

389 claims

$517.05

$266.41

1.9×

Normal range

H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$201K

389 claims · 0.9%

Your Cost: $517.05/claim|Median: $266.41

1.9× median

H2000Comprehensive multidisciplinary evaluationSee all providers →

$129K

2,106 claims

$61.16

$114.71

0.5×

Normal range

H2000Normal range

Comprehensive multidisciplinary evaluation

$129K

2,106 claims · 0.5%

Your Cost: $61.16/claim|Median: $114.71

0.5× median

90834Psychotherapy, 45 minutesSee all providers →

$54K

19K claims

$2.83

$63.65

0.0×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$54K

19K claims · 0.2%

Your Cost: $2.83/claim|Median: $63.65

0.0× median

T1028Assessment of home, physical & family environmentsSee all providers →

$42K

393 claims

$107.48

$81.30

1.3×

Top 25%

T1028Top 25%

Assessment of home, physical & family environments

$42K

393 claims · 0.2%

Your Cost: $107.48/claim|Median: $81.30

1.3× median

H2015Comprehensive community support services, per 15 minSee all providers →

$17K

217K claims

$0.08

$96.24

0.0×

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

$17K

217K claims · 0.1%

Your Cost: $0.08/claim|Median: $96.24

0.0× median

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

$16K

1,934 claims

$8.26

$53.41

0.2×

Normal range

99214Normal range

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

$16K

1,934 claims · 0.1%

Your Cost: $8.26/claim|Median: $53.41

0.2× median

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

$14K

2,196 claims

$6.60

$37.81

0.2×

Normal range

99213Normal range

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

$14K

2,196 claims · 0.1%

Your Cost: $6.60/claim|Median: $37.81

0.2× median

90832Psychotherapy, 30 minutesSee all providers →

$5K

497 claims

$9.07

$41.28

0.2×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$5K

497 claims · 0.0%

Your Cost: $9.07/claim|Median: $41.28

0.2× median

90853Group psychotherapySee all providers →

$4K

1,183 claims

$2.97

$25.02

0.1×

Normal range

90853Normal range

Group psychotherapy

$4K

1,183 claims · 0.0%

Your Cost: $2.97/claim|Median: $25.02

0.1× median

90846Family psychotherapy without patient, 50 minSee all providers →

$3K

60 claims

$58.03

$76.61

0.8×

Normal range

90846Normal range

Family psychotherapy without patient, 50 min

$3K

60 claims · 0.0%

Your Cost: $58.03/claim|Median: $76.61

0.8× median

99443Telephone E/M by physician, 21-30 minSee all providers →

$2K

113 claims

$19.76

$32.55

0.6×

Normal range

99443Normal range

Telephone E/M by physician, 21-30 min

$2K

113 claims · 0.0%

Your Cost: $19.76/claim|Median: $32.55

0.6× median

90791Psychiatric diagnostic evaluationSee all providers →

$2K

516 claims

$2.95

$99.21

0.0×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$2K

516 claims · 0.0%

Your Cost: $2.95/claim|Median: $99.21

0.0× median

99212Office/outpatient visit, low complexitySee all providers →

$2K

123 claims

$12.30

$25.06

0.5×

Normal range

99212Normal range

Office/outpatient visit, low complexity

$2K

123 claims · 0.0%

Your Cost: $12.30/claim|Median: $25.06

0.5× median

H2011Crisis intervention service, per 15 minutesSee all providers →

$979

38K claims

$0.03

$215.80

0.0×

Normal range

H2011Normal range

Crisis intervention service, per 15 minutes

$979

38K claims · 0.0%

Your Cost: $0.03/claim|Median: $215.80

0.0× median

G2211 See all providers →

$143

229 claims

$0.63

$2.40

0.3×

Normal range

G2211Normal range

$143

229 claims · 0.0%

Your Cost: $0.63/claim|Median: $2.40

0.3× median

99442Telephone E/M by physician, 11-20 minutesSee all providers →

$140

17 claims

$8.25

$22.44

0.4×

Normal range

99442Normal range

Telephone E/M by physician, 11-20 minutes

$140

17 claims · 0.0%

Your Cost: $8.25/claim|Median: $22.44

0.4× median

99211Office/outpatient visit, minimal complexitySee all providers →

$88

12 claims

$7.34

$12.93

0.6×

Normal range

99211Normal range

Office/outpatient visit, minimal complexity

$88

12 claims · 0.0%

Your Cost: $7.34/claim|Median: $12.93

0.6× median

T1022 See all providers →

8,851 claims

$0.00

$184.03

0.0×

Normal range

T1022Normal range

8,851 claims · 0.0%

Your Cost: $0.00/claim|Median: $184.03

0.0× median

T1016Case management, each 15 minSee all providers →

7,195 claims

$0.00

$49.62

0.0×

Normal range

T1016Normal range

Case management, each 15 min

7,195 claims · 0.0%

Your Cost: $0.00/claim|Median: $49.62

0.0× median

99215Office/outpatient visit, high complexitySee all providers →

252 claims

$0.00

$74.09

—

Normal range

99215Normal range

Office/outpatient visit, high complexity

252 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.09

H2014Skills training & development, per 15 minSee all providers →

2,986 claims

$0.00

$83.88

—

Normal range

H2014Normal range

Skills training & development, per 15 min

2,986 claims · 0.0%

Your Cost: $0.00/claim|Median: $83.88

97127 See all providers →

2,223 claims

$0.00

$66.78

—

Normal range

97127Normal range

2,223 claims · 0.0%

Your Cost: $0.00/claim|Median: $66.78

T1017Targeted case management, per 15 minSee all providers →

9,157 claims

$0.00

$69.56

—

Normal range

T1017Normal range

Targeted case management, per 15 min

9,157 claims · 0.0%

Your Cost: $0.00/claim|Median: $69.56

T1013Sign language or oral interpretive services, per 15 minutesSee all providers →

3,289 claims

$0.00

$17.67

—

Normal range

T1013Normal range

Sign language or oral interpretive services, per 15 minutes

3,289 claims · 0.0%

Your Cost: $0.00/claim|Median: $17.67

97130 See all providers →

1,962 claims

$0.00

$21.60

—

Normal range

97130Normal range

1,962 claims · 0.0%

Your Cost: $0.00/claim|Median: $21.60

S9445 See all providers →

9,556 claims

$0.00

$12.72

—

Normal range

S9445Normal range

9,556 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.72

T1002RN services, per 15 minutesSee all providers →

1,392 claims

$0.00

$37.42

—

Normal range

T1002Normal range

RN services, per 15 minutes

1,392 claims · 0.0%

Your Cost: $0.00/claim|Median: $37.42

T2016Habilitation, residential, waiver; per diemSee all providers →

83K claims

$0.00

$331.94

—

Normal range

T2016Normal range

Habilitation, residential, waiver; per diem

83K claims · 0.0%

Your Cost: $0.00/claim|Median: $331.94

H2024 See all providers →

3,095 claims

$0.00

$363.67

—

Normal range

H2024Normal range

3,095 claims · 0.0%

Your Cost: $0.00/claim|Median: $363.67

NB See all providers →

65 claims

$0.00

—

65 claims · 0.0%

H2019Therapeutic behavioral services, per 15 minSee all providers →

209 claims

$0.00

$84.12

—

Normal range

H2019Normal range

Therapeutic behavioral services, per 15 min

209 claims · 0.0%

Your Cost: $0.00/claim|Median: $84.12

H2023Supported employment, per 15 minSee all providers →

7,601 claims

$0.00

$103.94

—

Normal range

H2023Normal range

Supported employment, per 15 min

7,601 claims · 0.0%

Your Cost: $0.00/claim|Median: $103.94

S9485Crisis intervention mental health services, per diemSee all providers →

883 claims

$0.00

$501.33

—

Normal range

S9485Normal range

Crisis intervention mental health services, per diem

883 claims · 0.0%

Your Cost: $0.00/claim|Median: $501.33

S5100Day care services, adult, per half daySee all providers →

15K claims

$0.00

$67.58

—

Normal range

S5100Normal range

Day care services, adult, per half day

15K claims · 0.0%

Your Cost: $0.00/claim|Median: $67.58

97129 See all providers →

2,085 claims

$0.00

$17.39

—

Normal range

97129Normal range

2,085 claims · 0.0%

Your Cost: $0.00/claim|Median: $17.39

99368 See all providers →

22 claims

$0.00

$19.67

—

Normal range

99368Normal range

22 claims · 0.0%

Your Cost: $0.00/claim|Median: $19.67

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