Generations Health Association Inc.
Cost Outlier
Billing over 3× the national median for specific procedure codes.
This provider bills $639.08 per claim for H0043 (Supported housing, per diem), which is 3.9× the national median of $164.87.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Cost Outlier
Cost Outlier means this provider charges significantly more per claim than other providers billing the same procedure codes. This could indicate upcoding, inflated charges, or specialized services that justify higher costs.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Bills $639.08 per claim for H0043 (Supported housing, per diem) — 3.9× the national median of $164.87.
This is a statistical summary, not an accusation. See our methodology.
Compared to Clinic/Center Mental Health (Including Community Mental Health Center) Peers
Total spending distribution among 28 providers in this specialty
This provider's total spending of $136.7M is at the 25th percentile among 28 Clinic/Center Mental Health (Including Community Mental Health Center) providers.
Total Paid
$136.7M
$136,663,126
Total Claims
728K
Beneficiaries
316K
2.3 claims/patient
Avg Cost/Claim
$188
#824 of 618K providers by total spending(top 0.1%)
🔍 Analysis
Provider Overview
Generations Health Association Inc. is a Clinic/Center Mental Health (Including Community Mental Health Center) provider based in Morrison, TN. From the 2018–2024 period, this provider received $136.7M in Medicaid payments across 728K claims.
Why This Matters
This provider received $136.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 17,082 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 27 distinct procedure codes. The top code (H0043 (Supported housing, per diem)) accounts for 92% of total spending.
Supported housing, per diem
$125.2M
196K claims · 91.6%
$7.7M
88K claims
$87.73
$48.38
Medical home program, comprehensive care management
$7.7M
88K claims · 5.6%
$1.1M
68K claims
$16.63
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$1.1M
68K claims · 0.8%
Psychotherapy, 45 minutes
$821K
21K claims · 0.6%
Psychotherapy, 30 minutes
$725K
34K claims · 0.5%
Non-emergency taxi transport
$299K
41K claims · 0.2%
$218K
5K claims
$40.21
$108.91
Psychiatric diagnostic evaluation with medical services
$218K
5K claims · 0.2%
Psychiatric diagnostic evaluation
$212K
4K claims · 0.2%
$211K
7K claims
$28.24
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$211K
7K claims · 0.2%
Ground mileage, per statute mile
$88K
21K claims · 0.1%
Psychotherapy, 60 minutes
$74K
1K claims · 0.1%
$14K
15K claims
$0.95
$24.72
Non-emergency transportation; per trip
$14K
15K claims · 0.0%
$2K
132 claims
$14.03
$38.83
Psychotherapy, 30 min, add-on to E/M service
$2K
132 claims · 0.0%
$177
27K claims · 0.0%
$0
54K claims
$0.00
$47.08
Coordinated care fee, risk-adjusted, ESRD
$0
54K claims · 0.0%
$0
26K claims · 0.0%
$0
130 claims · 0.0%
$0
48 claims · 0.0%
$0
22 claims · 0.0%
$0
3K claims · 0.0%
$0
20K claims · 0.0%
$0
41K claims · 0.0%
$0
139 claims · 0.0%
$0
69 claims · 0.0%
$0
54K claims
$0.00
$204.93
Coordination of long-term care services, per hour
$0
54K claims · 0.0%
Non-emergency mini-bus transport
$0
423 claims · 0.0%
$0
27 claims · 0.0%
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