Is J.ARTHUR TRUDEAU MEMORIAL CENTER CONVERSION WAIVERS flagged for Medicaid fraud?

J.ARTHUR TRUDEAU MEMORIAL CENTER CONVERSION WAIVERS (NPI: 1164549317) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

What is NPI 1164549317?

NPI 1164549317 is the National Provider Identifier for J.ARTHUR TRUDEAU MEMORIAL CENTER CONVERSION WAIVERS. They are a Day Training, Developmentally Disabled Services provider based in WARWICK, RI. This NPI is registered with the CMS NPI Registry.

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J.ARTHUR TRUDEAU MEMORIAL CENTER CONVERSION WAIVERS

Day Training, Developmentally Disabled Services·WARWICK, RI·NPI: 1164549317Share

Compared to Day Training, Developmentally Disabled Services Peers

Total spending distribution among 56 providers in this specialty

P25MedianP75P90

This provider's total spending of $57.1M is at the 50th percentile among 56 Day Training, Developmentally Disabled Services providers.

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

Total Paid

$57.1M

$57,119,331

Total Claims

205K

Beneficiaries

38K

5.4 claims/patient

Avg Cost/Claim

$279

Monthly Spending Trend

Yearly Spending

2018

$9.1M

-7%

2019

$8.5M

-23%

2020

$6.5M

+3%

2021

$6.7M

+7%

2022

$7.2M

+27%

2023

$9.1M

+8%

2024

$9.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (T2033 (Residential care, NOS; per diem)) accounts for 65% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T2033Residential care, NOS; per diemSee all providers →

$36.9M

6,134 claims

$6,013.36

$1,051.57

5.7×

Top 10%

T2033Top 10%

Residential care, NOS; per diem

$36.9M

6,134 claims · 64.6%

Your Cost: $6,013.36/claim|Median: $1,051.57

5.7× median

T2021Day habilitation, waiver; per 15 minSee all providers →

$5.2M

139K claims

$37.12

$150.51

0.2×

Normal range

T2021Normal range

Day habilitation, waiver; per 15 min

$5.2M

139K claims · 9.0%

Your Cost: $37.12/claim|Median: $150.51

0.2× median

T2017Habilitation, residential, waiver; 15 minSee all providers →

$5.1M

17K claims

$296.38

$137.32

2.2×

Normal range

T2017Normal range

Habilitation, residential, waiver; 15 min

$5.1M

17K claims · 8.9%

Your Cost: $296.38/claim|Median: $137.32

2.2× median

T2020Day habilitation, waiver; per diemSee all providers →

$3.4M

2,875 claims

$1,199.65

$87.34

13.7×

Top 1%

T2020Top 1%

Day habilitation, waiver; per diem

$3.4M

2,875 claims · 6.0%

Your Cost: $1,199.65/claim|Median: $87.34

13.7× median

T2022Case management, per monthSee all providers →

$1.6M

12K claims

$129.74

$202.77

0.6×

Normal range

T2022Normal range

Case management, per month

$1.6M

12K claims · 2.8%

Your Cost: $129.74/claim|Median: $202.77

0.6× median

T2015Habilitation, prevocational, waiver, per diemSee all providers →

$1.4M

236 claims

$5,761.13

$88.27

65.3×

Top 1%

T2015Top 1%

Habilitation, prevocational, waiver, per diem

$1.4M

236 claims · 2.4%

Your Cost: $5,761.13/claim|Median: $88.27

65.3× median

T1005Respite care services, per 15 minutesSee all providers →

$1.4M

2,163 claims

$624.48

$71.40

8.7×

Top 5%

T1005Top 5%

Respite care services, per 15 minutes

$1.4M

2,163 claims · 2.4%

Your Cost: $624.48/claim|Median: $71.40

8.7× median

T2003Non-emergency transport; encounter/tripSee all providers →

$1.1M

11K claims

$91.68

$21.70

4.2×

Top 10%

T2003Top 10%

Non-emergency transport; encounter/trip

$1.1M

11K claims · 1.8%

Your Cost: $91.68/claim|Median: $21.70

4.2× median

T2019Habilitation, prevocational, waiver; per 15 minSee all providers →

$574K

12K claims

$47.57

$88.91

0.5×

Normal range

T2019Normal range

Habilitation, prevocational, waiver; per 15 min

$574K

12K claims · 1.0%

Your Cost: $47.57/claim|Median: $88.91

0.5× median

H2016Comprehensive community support services, per 15 minSee all providers →

$296K

64 claims

$4,624.08

$321.53

14.4×

Top 5%

H2016Top 5%

Comprehensive community support services, per 15 min

$296K

64 claims · 0.5%

Your Cost: $4,624.08/claim|Median: $321.53

14.4× median

T2023Community transition, waiver; per serviceSee all providers →

$282K

1,221 claims

$231.29

$300.13

0.8×

Normal range

T2023Normal range

Community transition, waiver; per service

$282K

1,221 claims · 0.5%

Your Cost: $231.29/claim|Median: $300.13

0.8× median

T2025Waiver services, NOS; per 15 minSee all providers →

$70K

674 claims

$103.59

$124.39

0.8×

Normal range

T2025Normal range

Waiver services, NOS; per 15 min

$70K

674 claims · 0.1%

Your Cost: $103.59/claim|Median: $124.39

0.8× median

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