Is LUMMI INDIAN BUSINESS COUNCIL flagged for Medicaid fraud?

LUMMI INDIAN BUSINESS COUNCIL (NPI: 1407979289) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does LUMMI INDIAN BUSINESS COUNCIL bill Medicaid?

LUMMI INDIAN BUSINESS COUNCIL received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Clinic/Center, Recovery Care provider. Located in BELLINGHAM, WA.

What is NPI 1407979289?

NPI 1407979289 is the National Provider Identifier for LUMMI INDIAN BUSINESS COUNCIL. They are a Clinic/Center, Recovery Care provider based in BELLINGHAM, WA. This NPI is registered with the CMS NPI Registry.

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LUMMI INDIAN BUSINESS COUNCIL

Clinic/Center, Recovery Care·BELLINGHAM, WA·NPI: 1407979289Share

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

Total Paid

$26.1M

$26,115,005

Total Claims

139K

Beneficiaries

39K

3.6 claims/patient

Avg Cost/Claim

$187

Monthly Spending Trend

Yearly Spending

2018

$8.6M

-8%

2019

$7.9M

-63%

2020

$2.9M

-26%

2021

$2.2M

-36%

2022

$1.4M

+17%

2023

$1.6M

-7%

2024

$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 94% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1015Clinic visit/encounter, all-inclusiveSee all providers →

$24.6M

63K claims

$392.54

$121.16

3.2×

Top 5%

T1015Top 5%

Clinic visit/encounter, all-inclusive

$24.6M

63K claims · 94.1%

Your Cost: $392.54/claim|Median: $121.16

3.2× median

H0033Oral medication administration, direct observationSee all providers →

$583K

51K claims

$11.47

$31.37

0.4×

Normal range

H0033Normal range

Oral medication administration, direct observation

$583K

51K claims · 2.2%

Your Cost: $11.47/claim|Median: $31.37

0.4× median

96153Health/behavior intervention, groupSee all providers →

$470K

7,693 claims

$61.06

$6.67

9.2×

Top 10%

96153Top 10%

Health/behavior intervention, group

$470K

7,693 claims · 1.8%

Your Cost: $61.06/claim|Median: $6.67

9.2× median

H0004Behavioral health counseling & therapy, per 15 minSee all providers →

$186K

4,434 claims

$41.84

$74.63

0.6×

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$186K

4,434 claims · 0.7%

Your Cost: $41.84/claim|Median: $74.63

0.6× median

96154 See all providers →

$147K

3,656 claims

$40.14

$36.72

1.1×

Normal range

96154Normal range

$147K

3,656 claims · 0.6%

Your Cost: $40.14/claim|Median: $36.72

1.1× median

96165Health behavior intervention, family, each additional fifteen minutesSee all providers →

$123K

2,691 claims

$45.80

$15.54

2.9×

Normal range

96165Normal range

Health behavior intervention, family, each additional fifteen minutes

$123K

2,691 claims · 0.5%

Your Cost: $45.80/claim|Median: $15.54

2.9× median

96164 See all providers →

$19K

2,692 claims

$7.02

$9.87

0.7×

Normal range

96164Normal range

$19K

2,692 claims · 0.1%

Your Cost: $7.02/claim|Median: $9.87

0.7× median

H0049 See all providers →

$15K

4,604 claims

$3.23

$9.27

0.3×

Normal range

H0049Normal range

$15K

4,604 claims · 0.1%

Your Cost: $3.23/claim|Median: $9.27

0.3× median

H0001Alcohol and/or drug assessmentSee all providers →

$1K

127 claims

$8.34

$94.22

0.1×

Normal range

H0001Normal range

Alcohol and/or drug assessment

$1K

127 claims · 0.0%

Your Cost: $8.34/claim|Median: $94.22

0.1× median

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