Is ACCESS: SUPPORTS FOR LIVING INC flagged for Medicaid fraud?

ACCESS: SUPPORTS FOR LIVING INC (NPI: 1215122361) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does ACCESS: SUPPORTS FOR LIVING INC bill Medicaid?

ACCESS: SUPPORTS FOR LIVING INC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Community/Behavioral Health provider. Located in MIDDLETOWN, NY.

What is NPI 1215122361?

NPI 1215122361 is the National Provider Identifier for ACCESS: SUPPORTS FOR LIVING INC. They are a Community/Behavioral Health provider based in MIDDLETOWN, NY. This NPI is registered with the CMS NPI Registry.

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ACCESS: SUPPORTS FOR LIVING INC

Community/Behavioral Health·MIDDLETOWN, NY·NPI: 1215122361Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $35.0M is at the 25th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-09(76 months)

Total Paid

$35.0M

$34,993,042

Total Claims

55K

Beneficiaries

51K

1.1 claims/patient

Avg Cost/Claim

$639

Monthly Spending Trend

Yearly Spending

2018

$284K

+1170%

2019

$3.6M

+75%

2020

$6.3M

+4%

2021

$6.6M

+12%

2022

$7.4M

-5%

2023

$7.0M

-47%

2024

$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (H2019 (Therapeutic behavioral services, per 15 min)) accounts for 49% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H2019Therapeutic behavioral services, per 15 minSee all providers →

$17.0M

25K claims

$671.07

$84.12

8.0×

Top 5%

H2019Top 5%

Therapeutic behavioral services, per 15 min

$17.0M

25K claims · 48.6%

Your Cost: $671.07/claim|Median: $84.12

8.0× median

H2018Psychosocial rehabilitation services, per diemSee all providers →

$14.9M

10K claims

$1,439.85

$392.63

3.7×

Top 25%

H2018Top 25%

Psychosocial rehabilitation services, per diem

$14.9M

10K claims · 42.7%

Your Cost: $1,439.85/claim|Median: $392.63

3.7× median

T1015Clinic visit/encounter, all-inclusiveSee all providers →

$2.6M

8,694 claims

$293.94

$121.16

2.4×

Top 5%

T1015Top 5%

Clinic visit/encounter, all-inclusive

$2.6M

8,694 claims · 7.3%

Your Cost: $293.94/claim|Median: $121.16

2.4× median

H0036Community psychiatric supportive treatment, per 15 minSee all providers →

$133K

1,719 claims

$77.62

$76.05

1.0×

Normal range

H0036Normal range

Community psychiatric supportive treatment, per 15 min

$133K

1,719 claims · 0.4%

Your Cost: $77.62/claim|Median: $76.05

1.0× median

99212Office/outpatient visit, low complexitySee all providers →

$130K

2,578 claims

$50.42

$25.06

2.0×

Top 25%

99212Top 25%

Office/outpatient visit, low complexity

$130K

2,578 claims · 0.4%

Your Cost: $50.42/claim|Median: $25.06

2.0× median

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

$94K

4,063 claims

$23.03

$22.44

1.0×

Normal range

99442Normal range

Telephone E/M by physician, 11-20 minutes

$94K

4,063 claims · 0.3%

Your Cost: $23.03/claim|Median: $22.44

1.0× median

90832Psychotherapy, 30 minutesSee all providers →

$56K

636 claims

$87.83

$41.28

2.1×

Top 10%

90832Top 10%

Psychotherapy, 30 minutes

$56K

636 claims · 0.2%

Your Cost: $87.83/claim|Median: $41.28

2.1× median

H2017Psychosocial rehabilitation services, per 15 minSee all providers →

$23K

485 claims

$47.78

$91.63

0.5×

Normal range

H2017Normal range

Psychosocial rehabilitation services, per 15 min

$23K

485 claims · 0.1%

Your Cost: $47.78/claim|Median: $91.63

0.5× median

H0038Self-help/peer services, per 15 minutesSee all providers →

$21K

475 claims

$44.42

$55.04

0.8×

Normal range

H0038Normal range

Self-help/peer services, per 15 minutes

$21K

475 claims · 0.1%

Your Cost: $44.42/claim|Median: $55.04

0.8× median

90834Psychotherapy, 45 minutesSee all providers →

$13K

98 claims

$132.91

$63.65

2.1×

Top 10%

90834Top 10%

Psychotherapy, 45 minutes

$13K

98 claims · 0.0%

Your Cost: $132.91/claim|Median: $63.65

2.1× median

90791Psychiatric diagnostic evaluationSee all providers →

$7K

53 claims

$132.16

$99.21

1.3×

Top 25%

90791Top 25%

Psychiatric diagnostic evaluation

$7K

53 claims · 0.0%

Your Cost: $132.16/claim|Median: $99.21

1.3× median

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

$6K

88 claims

$70.70

$53.41

1.3×

Normal range

99214Normal range

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

$6K

88 claims · 0.0%

Your Cost: $70.70/claim|Median: $53.41

1.3× median

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

$4K

32 claims

$115.59

$37.81

3.1×

Top 5%

99213Top 5%

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

$4K

32 claims · 0.0%

Your Cost: $115.59/claim|Median: $37.81

3.1× median

90792Psychiatric diagnostic evaluation with medical servicesSee all providers →

$3K

12 claims

$241.77

$108.91

2.2×

Top 10%

90792Top 10%

Psychiatric diagnostic evaluation with medical services

$3K

12 claims · 0.0%

Your Cost: $241.77/claim|Median: $108.91

2.2× median

H0002Behavioral health screeningSee all providers →

$2K

12 claims

$144.76

$38.77

3.7×

Top 25%

H0002Top 25%

Behavioral health screening

$2K

12 claims · 0.0%

Your Cost: $144.76/claim|Median: $38.77

3.7× median

H2011Crisis intervention service, per 15 minutesSee all providers →

$2K

17 claims

$91.03

$215.80

0.4×

Normal range

H2011Normal range

Crisis intervention service, per 15 minutes

$2K

17 claims · 0.0%

Your Cost: $91.03/claim|Median: $215.80

0.4× median

90846Family psychotherapy without patient, 50 minSee all providers →

$2K

14 claims

$107.89

$76.61

1.4×

Top 25%

90846Top 25%

Family psychotherapy without patient, 50 min

$2K

14 claims · 0.0%

Your Cost: $107.89/claim|Median: $76.61

1.4× median

90853Group psychotherapySee all providers →

$1K

22 claims

$50.75

$25.02

2.0×

Top 25%

90853Top 25%

Group psychotherapy

$1K

22 claims · 0.0%

Your Cost: $50.75/claim|Median: $25.02

2.0× median

99051 See all providers →

$587

49 claims

$11.98

$7.89

1.5×

Normal range

99051Normal range

$587

49 claims · 0.0%

Your Cost: $11.98/claim|Median: $7.89

1.5× median

99401 See all providers →

$484

12 claims

$40.30

$16.53

2.4×

Top 5%

99401Top 5%

$484

12 claims · 0.0%

Your Cost: $40.30/claim|Median: $16.53

2.4× median

90882Environmental interventionSee all providers →

$62

14 claims

$4.44

$45.05

0.1×

Normal range

90882Normal range

Environmental intervention

$62

14 claims · 0.0%

Your Cost: $4.44/claim|Median: $45.05

0.1× median

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