Is ACCESSPOINT RI flagged for Medicaid fraud?

ACCESSPOINT RI (NPI: 1164558565) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does ACCESSPOINT RI bill Medicaid?

ACCESSPOINT RI received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Day Training, Developmentally Disabled Services provider. Located in CRANSTON, RI.

What is NPI 1164558565?

NPI 1164558565 is the National Provider Identifier for ACCESSPOINT RI. They are a Day Training, Developmentally Disabled Services provider based in CRANSTON, RI. This NPI is registered with the CMS NPI Registry.

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ACCESSPOINT RI

Day Training, Developmentally Disabled Services·CRANSTON, RI·NPI: 1164558565Share

Compared to Day Training, Developmentally Disabled Services Peers

Total spending distribution among 56 providers in this specialty

P25MedianP75P90

This provider's total spending of $52.3M is at the 50th percentile among 56 Day Training, Developmentally Disabled Services providers.

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

Total Paid

$52.3M

$52,330,112

Total Claims

132K

Beneficiaries

46K

2.9 claims/patient

Avg Cost/Claim

$396

Monthly Spending Trend

Yearly Spending

2018

$7.1M

-2%

2019

$7.0M

-16%

2020

$5.8M

+23%

2021

$7.2M

+8%

2022

$7.7M

+8%

2023

$8.4M

+10%

2024

$9.2M

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 62% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T2033Residential care, NOS; per diemSee all providers →

$32.3M

17K claims

$1,936.56

$1,051.57

1.8×

Normal range

T2033Normal range

Residential care, NOS; per diem

$32.3M

17K claims · 61.7%

Your Cost: $1,936.56/claim|Median: $1,051.57

1.8× median

T2021Day habilitation, waiver; per 15 minSee all providers →

$9.3M

45K claims

$205.11

$150.51

1.4×

Normal range

T2021Normal range

Day habilitation, waiver; per 15 min

$9.3M

45K claims · 17.8%

Your Cost: $205.11/claim|Median: $150.51

1.4× median

T2017Habilitation, residential, waiver; 15 minSee all providers →

$4.3M

12K claims

$372.64

$137.32

2.7×

Top 25%

T2017Top 25%

Habilitation, residential, waiver; 15 min

$4.3M

12K claims · 8.3%

Your Cost: $372.64/claim|Median: $137.32

2.7× median

T2022Case management, per monthSee all providers →

$3.0M

26K claims

$115.18

$202.77

0.6×

Normal range

T2022Normal range

Case management, per month

$3.0M

26K claims · 5.7%

Your Cost: $115.18/claim|Median: $202.77

0.6× median

T2003Non-emergency transport; encounter/tripSee all providers →

$2.0M

20K claims

$101.66

$21.70

4.7×

Top 10%

T2003Top 10%

Non-emergency transport; encounter/trip

$2.0M

20K claims · 3.9%

Your Cost: $101.66/claim|Median: $21.70

4.7× median

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

$666K

7,695 claims

$86.52

$88.91

1.0×

Normal range

T2019Normal range

Habilitation, prevocational, waiver; per 15 min

$666K

7,695 claims · 1.3%

Your Cost: $86.52/claim|Median: $88.91

1.0× median

T2023Community transition, waiver; per serviceSee all providers →

$307K

1,372 claims

$223.73

$300.13

0.7×

Normal range

T2023Normal range

Community transition, waiver; per service

$307K

1,372 claims · 0.6%

Your Cost: $223.73/claim|Median: $300.13

0.7× median

T1002RN services, per 15 minutesSee all providers →

$133K

1,944 claims

$68.66

$37.42

1.8×

Normal range

T1002Normal range

RN services, per 15 minutes

$133K

1,944 claims · 0.3%

Your Cost: $68.66/claim|Median: $37.42

1.8× median

T2020Day habilitation, waiver; per diemSee all providers →

$123K

768 claims

$160.02

$87.34

1.8×

Top 25%

T2020Top 25%

Day habilitation, waiver; per diem

$123K

768 claims · 0.2%

Your Cost: $160.02/claim|Median: $87.34

1.8× median

T1005Respite care services, per 15 minutesSee all providers →

$119K

398 claims

$300.04

$71.40

4.2×

Top 10%

T1005Top 10%

Respite care services, per 15 minutes

$119K

398 claims · 0.2%

Your Cost: $300.04/claim|Median: $71.40

4.2× median

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

$12K

183 claims

$68.27

$74.63

0.9×

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$12K

183 claims · 0.0%

Your Cost: $68.27/claim|Median: $74.63

0.9× median

T2025Waiver services, NOS; per 15 minSee all providers →

$6K

25 claims

$238.31

$124.39

1.9×

Normal range

T2025Normal range

Waiver services, NOS; per 15 min

$6K

25 claims · 0.0%

Your Cost: $238.31/claim|Median: $124.39

1.9× median

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