Is DENALI FAMILY SERVICES flagged for Medicaid fraud?

DENALI FAMILY SERVICES (NPI: 1336260132) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does DENALI FAMILY SERVICES bill Medicaid?

DENALI FAMILY SERVICES received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Clinic/Center, Mental Health (Including Community Mental Health Center) provider. Located in ANCHORAGE, AK.

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DENALI FAMILY SERVICES

Clinic/Center, Mental Health (Including Community Mental Health Center)·ANCHORAGE, AK·NPI: 1336260132Share

Compared to Clinic/Center, Mental Health (Including Community Mental Health Center) Peers

Total spending distribution among 44 providers in this specialty

P25MedianP75P90

This provider's total spending of $39.2M is at the 50th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$39.2M

$39,216,057

Total Claims

200K

Beneficiaries

34K

5.8 claims/patient

Avg Cost/Claim

$196

Monthly Spending Trend

Yearly Spending

2018

$12.0M

+10%

2019

$13.3M

-29%

2020

$9.4M

-61%

2021

$3.6M

-92%

2022

$296K

+18%

2023

$350K

-22%

2024

$274K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (H0018 (Behavioral health; short-term residential, per diem)) accounts for 57% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H0018Behavioral health; short-term residential, per diemSee all providers →

$22.2M

105K claims

$211.95

$467.51

0.5×

Normal range

H0018Normal range

Behavioral health; short-term residential, per diem

$22.2M

105K claims · 56.6%

Your Cost: $211.95/claim|Median: $467.51

0.5× median

H2019Therapeutic behavioral services, per 15 minSee all providers →

$11.6M

47K claims

$249.50

$84.12

3.0×

Top 10%

H2019Top 10%

Therapeutic behavioral services, per 15 min

$11.6M

47K claims · 29.7%

Your Cost: $249.50/claim|Median: $84.12

3.0× median

90837Psychotherapy, 60 minutesSee all providers →

$1.9M

17K claims

$114.34

$85.66

1.3×

Top 25%

90837Top 25%

Psychotherapy, 60 minutes

$1.9M

17K claims · 4.9%

Your Cost: $114.34/claim|Median: $85.66

1.3× median

H2020Day habilitation, waiver, per 15 minutesSee all providers →

$1.5M

5,202 claims

$284.28

$144.05

2.0×

Top 10%

H2020Top 10%

Day habilitation, waiver, per 15 minutes

$1.5M

5,202 claims · 3.8%

Your Cost: $284.28/claim|Median: $144.05

2.0× median

T1016Case management, each 15 minSee all providers →

$406K

8,746 claims

$46.43

$49.62

0.9×

Normal range

T1016Normal range

Case management, each 15 min

$406K

8,746 claims · 1.0%

Your Cost: $46.43/claim|Median: $49.62

0.9× median

90846Family psychotherapy without patient, 50 minSee all providers →

$284K

2,836 claims

$100.20

$76.61

1.3×

Normal range

90846Normal range

Family psychotherapy without patient, 50 min

$284K

2,836 claims · 0.7%

Your Cost: $100.20/claim|Median: $76.61

1.3× median

90834Psychotherapy, 45 minutesSee all providers →

$221K

2,468 claims

$89.51

$63.65

1.4×

Top 25%

90834Top 25%

Psychotherapy, 45 minutes

$221K

2,468 claims · 0.6%

Your Cost: $89.51/claim|Median: $63.65

1.4× median

90832Psychotherapy, 30 minutesSee all providers →

$218K

3,784 claims

$57.52

$41.28

1.4×

Top 25%

90832Top 25%

Psychotherapy, 30 minutes

$218K

3,784 claims · 0.6%

Your Cost: $57.52/claim|Median: $41.28

1.4× median

90847Family psychotherapy with patient, 50 minSee all providers →

$214K

2,243 claims

$95.56

$77.33

1.2×

Normal range

90847Normal range

Family psychotherapy with patient, 50 min

$214K

2,243 claims · 0.5%

Your Cost: $95.56/claim|Median: $77.33

1.2× median

H0031Mental health assessment by non-physicianSee all providers →

$112K

281 claims

$397.34

$96.18

4.1×

Top 5%

H0031Top 5%

Mental health assessment by non-physician

$112K

281 claims · 0.3%

Your Cost: $397.34/claim|Median: $96.18

4.1× median

H2010Comprehensive medication services, per 15 minSee all providers →

$107K

736 claims

$145.02

$62.69

2.3×

Normal range

H2010Normal range

Comprehensive medication services, per 15 min

$107K

736 claims · 0.3%

Your Cost: $145.02/claim|Median: $62.69

2.3× median

90853Group psychotherapySee all providers →

$98K

1,327 claims

$74.21

$25.02

3.0×

Top 10%

90853Top 10%

Group psychotherapy

$98K

1,327 claims · 0.3%

Your Cost: $74.21/claim|Median: $25.02

3.0× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$88K

712 claims

$124.25

$53.41

2.3×

Top 5%

99214Top 5%

Office/outpatient visit, est. patient, mod-high complexity

$88K

712 claims · 0.2%

Your Cost: $124.25/claim|Median: $53.41

2.3× median

H0046Mental health services, not otherwise specifiedSee all providers →

$60K

1,512 claims

$39.62

$85.02

0.5×

Normal range

H0046Normal range

Mental health services, not otherwise specified

$60K

1,512 claims · 0.2%

Your Cost: $39.62/claim|Median: $85.02

0.5× median

H2021Community-based wrap-around services, per 15 minSee all providers →

$55K

308 claims

$179.79

$169.11

1.1×

Normal range

H2021Normal range

Community-based wrap-around services, per 15 min

$55K

308 claims · 0.1%

Your Cost: $179.79/claim|Median: $169.11

1.1× median

H0023Behavioral health outreach service, per 15 minutesSee all providers →

$37K

568 claims

$65.28

$53.97

1.2×

Normal range

H0023Normal range

Behavioral health outreach service, per 15 minutes

$37K

568 claims · 0.1%

Your Cost: $65.28/claim|Median: $53.97

1.2× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$34K

393 claims

$86.49

$37.81

2.3×

Top 5%

99213Top 5%

Office/outpatient visit, est. patient, low-mod complexity

$34K

393 claims · 0.1%

Your Cost: $86.49/claim|Median: $37.81

2.3× median

90791Psychiatric diagnostic evaluationSee all providers →

$23K

55 claims

$409.97

$99.21

4.1×

Top 1%

90791Top 1%

Psychiatric diagnostic evaluation

$23K

55 claims · 0.1%

Your Cost: $409.97/claim|Median: $99.21

4.1× median

T1007Alcohol/drug services, treatment plan reviewSee all providers →

$7K

60 claims

$124.48

$64.10

1.9×

Top 25%

T1007Top 25%

Alcohol/drug services, treatment plan review

$7K

60 claims · 0.0%

Your Cost: $124.48/claim|Median: $64.10

1.9× median

Q3014Telehealth originating site facility feeSee all providers →

$7K

135 claims

$54.86

$15.37

3.6×

Top 5%

Q3014Top 5%

Telehealth originating site facility fee

$7K

135 claims · 0.0%

Your Cost: $54.86/claim|Median: $15.37

3.6× median

T1023Screening to determine appropriateness of consideration for programSee all providers →

$2K

55 claims

$40.67

$106.70

0.4×

Normal range

T1023Normal range

Screening to determine appropriateness of consideration for program

$2K

55 claims · 0.0%

Your Cost: $40.67/claim|Median: $106.70

0.4× median

Other Top Providers in Alaska

View all →

Alaska Native Tribal Health Consortium

General Acute Care Hospital

$397.2M

Yukon-kuskokwim Health Corporation

General Acute Care Hospital Rural

$205.3M

Providence Health & Services Washington

General Acute Care Hospital

$161.5M

Hope Community Resources INC

Day Training, Developmentally Disabled Services

$161.0M

Southcentral Foundation

Clinic/Center Community Health

$130.3M

Similar Providers

Other top providers in Clinic/Center, Mental Health (Including Community Mental Health Center)

Los Angeles County Department of Mental Health

Los Angeles, CA

$6.78B

County of Sonoma

Santa Rosa, CA

$195.1M

County of Washtenaw

Ypsilanti, MI

$153.3M

County of Muskegon

Muskegon, MI

$151.1M

Fraser Child and Family Center

Minneapolis, MN

$149.8M

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