Is LIVING IN FULFILLING ENVIRONMENTS, INC. flagged for Medicaid fraud?

LIVING IN FULFILLING ENVIRONMENTS, INC. (NPI: 1134256530) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does LIVING IN FULFILLING ENVIRONMENTS, INC. bill Medicaid?

LIVING IN FULFILLING ENVIRONMENTS, INC. received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider. Located in BRISTOL, RI.

⚖️ Compare 🖨️ Print Report

LIVING IN FULFILLING ENVIRONMENTS, INC.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities·BRISTOL, RI·NPI: 1134256530Share

Compared to Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Peers

Total spending distribution among 50 providers in this specialty

P25MedianP75P90

This provider's total spending of $64.3M is at the 25th percentile among 50 Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers.

Active Billing Period:2018-01→2024-11(82 months)

Total Paid

$64.3M

$64,341,594

Total Claims

47K

Beneficiaries

31K

1.5 claims/patient

Avg Cost/Claim

$1K

Monthly Spending Trend

Yearly Spending

2018

$7.9M

+0%

2019

$7.9M

-14%

2020

$6.8M

+27%

2021

$8.6M

+19%

2022

$10.2M

+17%

2023

$11.9M

-7%

2024

$11.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (T2033 (Residential care, NOS; per diem)) accounts for 60% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T2033Residential care, NOS; per diemSee all providers →

$38.4M

4,532 claims

$8,480.40

$1,051.57

8.1×

Top 5%

T2033Top 5%

Residential care, NOS; per diem

$38.4M

4,532 claims · 59.7%

Your Cost: $8,480.40/claim|Median: $1,051.57

8.1× median

T2021Day habilitation, waiver; per 15 minSee all providers →

$14.0M

19K claims

$730.95

$150.51

4.9×

Top 25%

T2021Top 25%

Day habilitation, waiver; per 15 min

$14.0M

19K claims · 21.8%

Your Cost: $730.95/claim|Median: $150.51

4.9× median

T2017Habilitation, residential, waiver; 15 minSee all providers →

$6.1M

5,272 claims

$1,154.00

$137.32

8.4×

Top 25%

T2017Top 25%

Habilitation, residential, waiver; 15 min

$6.1M

5,272 claims · 9.5%

Your Cost: $1,154.00/claim|Median: $137.32

8.4× median

T2003Non-emergency transport; encounter/tripSee all providers →

$3.3M

6,774 claims

$486.89

$21.70

22.4×

Top 1%

T2003Top 1%

Non-emergency transport; encounter/trip

$3.3M

6,774 claims · 5.1%

Your Cost: $486.89/claim|Median: $21.70

22.4× median

T2022Case management, per monthSee all providers →

$1.2M

7,171 claims

$163.28

$202.77

0.8×

Normal range

T2022Normal range

Case management, per month

$1.2M

7,171 claims · 1.8%

Your Cost: $163.28/claim|Median: $202.77

0.8× median

T1005Respite care services, per 15 minutesSee all providers →

$500K

332 claims

$1,506.05

$71.40

21.1×

Top 1%

T1005Top 1%

Respite care services, per 15 minutes

$500K

332 claims · 0.8%

Your Cost: $1,506.05/claim|Median: $71.40

21.1× median

T2013Habilitation, residential, waiver, per hourSee all providers →

$285K

1,315 claims

$216.98

$158.23

1.4×

Top 25%

T2013Top 25%

Habilitation, residential, waiver, per hour

$285K

1,315 claims · 0.4%

Your Cost: $216.98/claim|Median: $158.23

1.4× median

T1003LPN/LVN services, per 15 minutesSee all providers →

$198K

713 claims

$278.02

$24.24

11.5×

Top 25%

T1003Top 25%

LPN/LVN services, per 15 minutes

$198K

713 claims · 0.3%

Your Cost: $278.02/claim|Median: $24.24

11.5× median

T1002RN services, per 15 minutesSee all providers →

$197K

872 claims

$226.20

$37.42

6.0×

Top 10%

T1002Top 10%

RN services, per 15 minutes

$197K

872 claims · 0.3%

Your Cost: $226.20/claim|Median: $37.42

6.0× median

T2020Day habilitation, waiver; per diemSee all providers →

$112K

565 claims

$198.56

$87.34

2.3×

Top 25%

T2020Top 25%

Day habilitation, waiver; per diem

$112K

565 claims · 0.2%

Your Cost: $198.56/claim|Median: $87.34

2.3× median

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

$22K

327 claims

$68.28

$74.63

0.9×

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$22K

327 claims · 0.0%

Your Cost: $68.28/claim|Median: $74.63

0.9× median

Other Top Providers in Rhode Island

View all →

Rhode Island Hospital

General Acute Care Hospital

$380.8M

Dominion Diagnostics, LLC

Clinical Medical Laboratory

$249.2M

The Fogarty Center

Day Training, Developmentally Disabled Services

$224.3M

Perspectives Corporation

Day Training Developmentally Disabled Services

$182.9M

The Providence Center INC

Counselor, Mental Health

$170.8M

Similar Providers

Other top providers in Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

The Devereux Foundation

Cherry Hill, NJ

$401.2M

Easter Seals Midwest

Ballwin, MO

$349.0M

Ability360, Inc,

Phoenix, AZ

$274.7M

Divine House, Inc.

Willmar, MN

$230.9M

Rem New Jersey, Inc.

Somerset, NJ

$217.9M

← All providers All providers in Rhode Island →How we detect fraud →