Is CCRI, INC flagged for Medicaid fraud?

CCRI, INC (NPI: 1295870699) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does CCRI, INC bill Medicaid?

CCRI, INC received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities provider. Located in MOORHEAD, MN.

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CCRI, INC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities·MOORHEAD, MN·NPI: 1295870699Share

Compared to Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Peers

Total spending distribution among 50 providers in this specialty

P25MedianP75P90

This provider's total spending of $111.0M is at the 50th percentile among 50 Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers.

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

Total Paid

$111.0M

$110,950,447

Total Claims

503K

Beneficiaries

37K

13.6 claims/patient

Avg Cost/Claim

$221

Monthly Spending Trend

Yearly Spending

2018

$13.9M

+3%

2019

$14.3M

+6%

2020

$15.2M

+6%

2021

$16.1M

+7%

2022

$17.3M

+5%

2023

$18.2M

-12%

2024

$16.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 18 distinct procedure codes. The top code (S5140 (Foster care, adult; per diem)) accounts for 52% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

S5140Foster care, adult; per diemSee all providers →

$57.8M

159K claims

$362.84

$252.32

1.4×

Normal range

S5140Normal range

Foster care, adult; per diem

$57.8M

159K claims · 52.1%

Your Cost: $362.84/claim|Median: $252.32

1.4× median

T2016Habilitation, residential, waiver; per diemSee all providers →

$29.9M

93K claims

$320.33

$331.94

1.0×

Normal range

T2016Normal range

Habilitation, residential, waiver; per diem

$29.9M

93K claims · 26.9%

Your Cost: $320.33/claim|Median: $331.94

1.0× median

H2014Skills training & development, per 15 minSee all providers →

$6.6M

42K claims

$154.32

$83.88

1.8×

Top 25%

H2014Top 25%

Skills training & development, per 15 min

$6.6M

42K claims · 5.9%

Your Cost: $154.32/claim|Median: $83.88

1.8× median

T2034Crisis intervention, per 15 minSee all providers →

$5.5M

69K claims

$80.03

$254.45

0.3×

Normal range

T2034Normal range

Crisis intervention, per 15 min

$5.5M

69K claims · 5.0%

Your Cost: $80.03/claim|Median: $254.45

0.3× median

H2032Activity therapy, per 15 minutesSee all providers →

$3.5M

33K claims

$104.66

$108.23

1.0×

Normal range

H2032Normal range

Activity therapy, per 15 minutes

$3.5M

33K claims · 3.1%

Your Cost: $104.66/claim|Median: $108.23

1.0× median

S5150Unskilled respite care, per 15 minSee all providers →

$2.0M

22K claims

$90.22

$84.46

1.1×

Normal range

S5150Normal range

Unskilled respite care, per 15 min

$2.0M

22K claims · 1.8%

Your Cost: $90.22/claim|Median: $84.46

1.1× median

H2017Psychosocial rehabilitation services, per 15 minSee all providers →

$1.9M

21K claims

$92.41

$91.63

1.0×

Normal range

H2017Normal range

Psychosocial rehabilitation services, per 15 min

$1.9M

21K claims · 1.7%

Your Cost: $92.41/claim|Median: $91.63

1.0× median

S5125Attendant care services, per 15 minSee all providers →

$1.8M

15K claims

$114.99

$82.34

1.4×

Normal range

S5125Normal range

Attendant care services, per 15 min

$1.8M

15K claims · 1.6%

Your Cost: $114.99/claim|Median: $82.34

1.4× median

T2017Habilitation, residential, waiver; 15 minSee all providers →

$732K

6,349 claims

$115.32

$137.32

0.8×

Normal range

T2017Normal range

Habilitation, residential, waiver; 15 min

$732K

6,349 claims · 0.7%

Your Cost: $115.32/claim|Median: $137.32

0.8× median

S5130Homemaker service, NOS; per 15 minSee all providers →

$516K

12K claims

$41.29

$48.76

0.8×

Normal range

S5130Normal range

Homemaker service, NOS; per 15 min

$516K

12K claims · 0.5%

Your Cost: $41.29/claim|Median: $48.76

0.8× median

H2015Comprehensive community support services, per 15 minSee all providers →

$426K

6,568 claims

$64.85

$96.24

0.7×

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

$426K

6,568 claims · 0.4%

Your Cost: $64.85/claim|Median: $96.24

0.7× median

H2019Therapeutic behavioral services, per 15 minSee all providers →

$172K

2,288 claims

$75.25

$84.12

0.9×

Normal range

H2019Normal range

Therapeutic behavioral services, per 15 min

$172K

2,288 claims · 0.2%

Your Cost: $75.25/claim|Median: $84.12

0.9× median

H0046Mental health services, not otherwise specifiedSee all providers →

$95K

18K claims

$5.20

$85.02

0.1×

Normal range

H0046Normal range

Mental health services, not otherwise specified

$95K

18K claims · 0.1%

Your Cost: $5.20/claim|Median: $85.02

0.1× median

90834Psychotherapy, 45 minutesSee all providers →

$66K

1,061 claims

$62.13

$63.65

1.0×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$66K

1,061 claims · 0.1%

Your Cost: $62.13/claim|Median: $63.65

1.0× median

90832Psychotherapy, 30 minutesSee all providers →

$30K

626 claims

$48.45

$41.28

1.2×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$30K

626 claims · 0.0%

Your Cost: $48.45/claim|Median: $41.28

1.2× median

H0031Mental health assessment by non-physicianSee all providers →

$30K

359 claims

$83.13

$96.18

0.9×

Normal range

H0031Normal range

Mental health assessment by non-physician

$30K

359 claims · 0.0%

Your Cost: $83.13/claim|Median: $96.18

0.9× median

90837Psychotherapy, 60 minutesSee all providers →

$26K

271 claims

$95.43

$85.66

1.1×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$26K

271 claims · 0.0%

Your Cost: $95.43/claim|Median: $85.66

1.1× median

H0032Mental health service plan developmentSee all providers →

$24K

291 claims

$84.00

$80.64

1.0×

Normal range

H0032Normal range

Mental health service plan development

$24K

291 claims · 0.0%

Your Cost: $84.00/claim|Median: $80.64

1.0× median

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