A.w. Holdings LLC
Psychologist Intellectual & Developmental Disabilities
Fort Wayne, Indiana
NPI: 1316158983
Risk Tier
High
Total Paid
$260.2M
$260,208,798
Total Claims
961K
Beneficiaries
258K
Avg Cost/Claim
$270.66
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (2)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $11,967.18 per claim for H2016 (Comprehensive community support services, per 15 min), which is 37.2× the national median of $321.53.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 5 procedure codes: H2016 at 37.2× median, 99600 at 3.0× median.
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