Is COTTONWOOD INCORPORATED flagged for Medicaid fraud?

COTTONWOOD INCORPORATED (NPI: 1275539744) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does COTTONWOOD INCORPORATED bill Medicaid?

COTTONWOOD INCORPORATED received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Durable Medical Equipment & Medical Supplies, Customized Equipment provider. Located in LAWRENCE, KS.

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COTTONWOOD INCORPORATED

Durable Medical Equipment & Medical Supplies, Customized Equipment·LAWRENCE, KS·NPI: 1275539744Share

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$46.5M

$46,490,879

Total Claims

76K

Beneficiaries

45K

1.7 claims/patient

Avg Cost/Claim

$608

Monthly Spending Trend

Yearly Spending

2018

$5.9M

+3%

2019

$6.1M

-9%

2020

$5.6M

+5%

2021

$5.9M

+22%

2022

$7.2M

+10%

2023

$7.9M

-2%

2024

$7.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 7 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 51% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T2016Habilitation, residential, waiver; per diemSee all providers →

$23.9M

18K claims

$1,341.64

$331.94

4.0×

Top 25%

T2016Top 25%

Habilitation, residential, waiver; per diem

$23.9M

18K claims · 51.3%

Your Cost: $1,341.64/claim|Median: $331.94

4.0× median

T2021Day habilitation, waiver; per 15 minSee all providers →

$15.7M

22K claims

$727.88

$150.51

4.8×

Top 25%

T2021Top 25%

Day habilitation, waiver; per 15 min

$15.7M

22K claims · 33.7%

Your Cost: $727.88/claim|Median: $150.51

4.8× median

H2023Supported employment, per 15 minSee all providers →

$4.4M

10K claims

$435.95

$103.94

4.2×

Top 10%

H2023Top 10%

Supported employment, per 15 min

$4.4M

10K claims · 9.4%

Your Cost: $435.95/claim|Median: $103.94

4.2× median

T1017Targeted case management, per 15 minSee all providers →

$2.3M

17K claims

$133.55

$69.56

1.9×

Normal range

T1017Normal range

Targeted case management, per 15 min

$2.3M

17K claims · 5.0%

Your Cost: $133.55/claim|Median: $69.56

1.9× median

T2003Non-emergency transport; encounter/tripSee all providers →

$148K

5,694 claims

$26.06

$21.70

1.2×

Normal range

T2003Normal range

Non-emergency transport; encounter/trip

$148K

5,694 claims · 0.3%

Your Cost: $26.06/claim|Median: $21.70

1.2× median

S5190Wellness assessment, performed by non-physicianSee all providers →

$72K

1,737 claims

$41.19

$33.67

1.2×

Normal range

S5190Normal range

Wellness assessment, performed by non-physician

$72K

1,737 claims · 0.2%

Your Cost: $41.19/claim|Median: $33.67

1.2× median

A0100Non-emergency transportation; per tripSee all providers →

$33K

2,205 claims

$14.80

$24.72

0.6×

Normal range

A0100Normal range

Non-emergency transportation; per trip

$33K

2,205 claims · 0.1%

Your Cost: $14.80/claim|Median: $24.72

0.6× median

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Life Patterns

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