Is CORNERSTONE AUTISM CENTER flagged for Medicaid fraud?

CORNERSTONE AUTISM CENTER (NPI: 1447562434) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does CORNERSTONE AUTISM CENTER bill Medicaid?

CORNERSTONE AUTISM CENTER received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Early Intervention Provider Agency provider. Located in GREENWOOD, IN.

What is NPI 1447562434?

NPI 1447562434 is the National Provider Identifier for CORNERSTONE AUTISM CENTER. They are a Early Intervention Provider Agency provider based in GREENWOOD, IN. This NPI is registered with the CMS NPI Registry.

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CORNERSTONE AUTISM CENTER

Early Intervention Provider Agency·GREENWOOD, IN·NPI: 1447562434Share

Compared to Early Intervention Provider Agency Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $30.4M is at the 25th percentile among 14 Early Intervention Provider Agency providers.

Active Billing Period:2018-01→2024-03(57 months)

Billing appears to have stoppedLast active: 2024-03

Total Paid

$30.4M

$30,431,940

Total Claims

193K

Beneficiaries

17K

11.5 claims/patient

Avg Cost/Claim

$158

Monthly Spending Trend

Yearly Spending

2018

$6.1M

+38%

2019

$8.4M

-3%

2020

$8.2M

-14%

2021

$7.0M

-92%

2022

$543K

-74%

2024

$143K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (97153 (Adaptive behavior treatment by protocol, per 15 min)) accounts for 65% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

97153Adaptive behavior treatment by protocol, per 15 minSee all providers →

$19.7M

73K claims

$270.70

$167.38

1.6×

Top 25%

97153Top 25%

Adaptive behavior treatment by protocol, per 15 min

$19.7M

73K claims · 64.7%

Your Cost: $270.70/claim|Median: $167.38

1.6× median

96152Health behavior intervention, individualSee all providers →

$6.1M

30K claims

$205.46

$20.02

10.3×

Top 5%

96152Top 5%

Health behavior intervention, individual

$6.1M

30K claims · 20.0%

Your Cost: $205.46/claim|Median: $20.02

10.3× median

97155Adaptive behavior treatment with protocol modification, per 15 minutesSee all providers →

$2.7M

47K claims

$57.93

$146.45

0.4×

Normal range

97155Normal range

Adaptive behavior treatment with protocol modification, per 15 minutes

$2.7M

47K claims · 8.9%

Your Cost: $57.93/claim|Median: $146.45

0.4× median

96151Health behavior reassessmentSee all providers →

$1.3M

31K claims

$41.27

$15.43

2.7×

Top 10%

96151Top 10%

Health behavior reassessment

$1.3M

31K claims · 4.2%

Your Cost: $41.27/claim|Median: $15.43

2.7× median

92507Speech/hearing/language treatmentSee all providers →

$289K

6,412 claims

$45.12

$49.45

0.9×

Normal range

92507Normal range

Speech/hearing/language treatment

$289K

6,412 claims · 1.0%

Your Cost: $45.12/claim|Median: $49.45

0.9× median

97151Behavior identification assessmentSee all providers →

$210K

2,713 claims

$77.49

$161.10

0.5×

Normal range

97151Normal range

Behavior identification assessment

$210K

2,713 claims · 0.7%

Your Cost: $77.49/claim|Median: $161.10

0.5× median

97156 See all providers →

$94K

2,459 claims

$38.42

$88.65

0.4×

Normal range

97156Normal range

$94K

2,459 claims · 0.3%

Your Cost: $38.42/claim|Median: $88.65

0.4× median

0373T See all providers →

$52K

168 claims

$311.61

$314.42

1.0×

Normal range

0373TNormal range

$52K

168 claims · 0.2%

Your Cost: $311.61/claim|Median: $314.42

1.0× median

96155 See all providers →

$27K

858 claims

$31.64

$34.72

0.9×

Normal range

96155Normal range

$27K

858 claims · 0.1%

Your Cost: $31.64/claim|Median: $34.72

0.9× median

92609 See all providers →

$14K

237 claims

$59.93

$59.78

1.0×

Normal range

92609Normal range

$14K

237 claims · 0.0%

Your Cost: $59.93/claim|Median: $59.78

1.0× median

92523Evaluation of speech sound production with language comprehensionSee all providers →

$5K

40 claims

$116.13

$110.87

1.0×

Normal range

92523Normal range

Evaluation of speech sound production with language comprehension

$5K

40 claims · 0.0%

Your Cost: $116.13/claim|Median: $110.87

1.0× median

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