Is THE SPARC NETWORK, LLC flagged for Medicaid fraud?

THE SPARC NETWORK, LLC (NPI: 1396155834) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does THE SPARC NETWORK, LLC bill Medicaid?

THE SPARC NETWORK, LLC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Community/Behavioral Health provider. Located in CHARLOTTE, NC.

What is NPI 1396155834?

NPI 1396155834 is the National Provider Identifier for THE SPARC NETWORK, LLC. They are a Community/Behavioral Health provider based in CHARLOTTE, NC. This NPI is registered with the CMS NPI Registry.

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THE SPARC NETWORK, LLC

Community/Behavioral Health·CHARLOTTE, NC·NPI: 1396155834Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $40.2M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$40.2M

$40,201,912

Total Claims

111K

Beneficiaries

26K

4.3 claims/patient

Avg Cost/Claim

$361

Monthly Spending Trend

Yearly Spending

2018

$2.2M

+36%

2019

$3.0M

+31%

2020

$3.9M

-19%

2021

$3.2M

+11%

2022

$3.5M

+210%

2023

$10.9M

+23%

2024

$13.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (H2022 (Community-based wrap-around services, per diem)) accounts for 55% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H2022Community-based wrap-around services, per diemSee all providers →

$21.9M

52K claims

$425.48

$336.31

1.3×

Normal range

H2022Normal range

Community-based wrap-around services, per diem

$21.9M

52K claims · 54.6%

Your Cost: $425.48/claim|Median: $336.31

1.3× median

H2015Comprehensive community support services, per 15 minSee all providers →

$6.4M

34K claims

$190.56

$96.24

2.0×

Top 25%

H2015Top 25%

Comprehensive community support services, per 15 min

$6.4M

34K claims · 16.0%

Your Cost: $190.56/claim|Median: $96.24

2.0× median

H0036Community psychiatric supportive treatment, per 15 minSee all providers →

$5.3M

1,775 claims

$2,985.35

$76.05

39.3×

Top 1%

H0036Top 1%

Community psychiatric supportive treatment, per 15 min

$5.3M

1,775 claims · 13.2%

Your Cost: $2,985.35/claim|Median: $76.05

39.3× median

H0038Self-help/peer services, per 15 minutesSee all providers →

$2.3M

8,226 claims

$279.39

$55.04

5.1×

Top 10%

H0038Top 10%

Self-help/peer services, per 15 minutes

$2.3M

8,226 claims · 5.7%

Your Cost: $279.39/claim|Median: $55.04

5.1× median

T1017Targeted case management, per 15 minSee all providers →

$1.6M

6,404 claims

$255.35

$69.56

3.7×

Top 25%

T1017Top 25%

Targeted case management, per 15 min

$1.6M

6,404 claims · 4.1%

Your Cost: $255.35/claim|Median: $69.56

3.7× median

H2011Crisis intervention service, per 15 minutesSee all providers →

$1.1M

4,303 claims

$260.16

$215.80

1.2×

Normal range

H2011Normal range

Crisis intervention service, per 15 minutes

$1.1M

4,303 claims · 2.8%

Your Cost: $260.16/claim|Median: $215.80

1.2× median

T1019Personal care services, per 15 minSee all providers →

$1.1M

3,760 claims

$296.44

$82.47

3.6×

Top 25%

T1019Top 25%

Personal care services, per 15 min

$1.1M

3,760 claims · 2.8%

Your Cost: $296.44/claim|Median: $82.47

3.6× median

H0040Assertive community treatment, face-to-face, per 15 minutesSee all providers →

$310K

1,315 claims

$235.74

$266.41

0.9×

Normal range

H0040Normal range

Assertive community treatment, face-to-face, per 15 minutes

$310K

1,315 claims · 0.8%

Your Cost: $235.74/claim|Median: $266.41

0.9× median

H202222 See all providers →

$42K

15 claims

$2,800.00

$311.12

9.0×

Top 1%

H202222Top 1%

$42K

15 claims · 0.1%

Your Cost: $2,800.00/claim|Median: $311.12

9.0× median

90791Psychiatric diagnostic evaluationSee all providers →

$24K

281 claims

$87.19

$99.21

0.9×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$24K

281 claims · 0.1%

Your Cost: $87.19/claim|Median: $99.21

0.9× median

90832Psychotherapy, 30 minutesSee all providers →

$4K

66 claims

$55.66

$41.28

1.3×

Top 25%

90832Top 25%

Psychotherapy, 30 minutes

$4K

66 claims · 0.0%

Your Cost: $55.66/claim|Median: $41.28

1.3× median

90792Psychiatric diagnostic evaluation with medical servicesSee all providers →

$2K

14 claims

$153.78

$108.91

1.4×

Normal range

90792Normal range

Psychiatric diagnostic evaluation with medical services

$2K

14 claims · 0.0%

Your Cost: $153.78/claim|Median: $108.91

1.4× median

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

$1K

32 claims

$34.58

$37.81

0.9×

Normal range

99213Normal range

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

$1K

32 claims · 0.0%

Your Cost: $34.58/claim|Median: $37.81

0.9× median

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