Community Systems Inc.
Residential Treatment Facility Intellectual and/or Developmental Disabilities
Springfield, Virginia
NPI: 1225048457
Risk Tier
Elevated
Total Paid
$75.1M
$75,073,504
Total Claims
10K
Beneficiaries
9K
Avg Cost/Claim
$7,233.21
Statistical Fraud Flags (1)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $9,406.84 per claim for H2022 (Community-based wrap-around services, per diem), which is 28.0× the national median of $336.31.
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024