Is TURNING POINT SERVICES, INC. flagged for Medicaid fraud?

TURNING POINT SERVICES, INC. (NPI: 1487695342) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does TURNING POINT SERVICES, INC. bill Medicaid?

TURNING POINT SERVICES, INC. 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 NEWTON, NC.

What is NPI 1487695342?

NPI 1487695342 is the National Provider Identifier for TURNING POINT SERVICES, INC.. They are a Community/Behavioral Health provider based in NEWTON, NC. This NPI is registered with the CMS NPI Registry.

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TURNING POINT SERVICES, INC.

Community/Behavioral Health·NEWTON, NC·NPI: 1487695342Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $45.3M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2020-04(28 months)

Billing appears to have stoppedLast active: 2020-04

Total Paid

$45.3M

$45,341,816

Total Claims

382K

Beneficiaries

25K

15.4 claims/patient

Avg Cost/Claim

$119

Monthly Spending Trend

Yearly Spending

2018

$19.5M

+7%

2019

$20.9M

-76%

2020

$4.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (T2013 (Habilitation, residential, waiver, per hour)) accounts for 63% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T2013Habilitation, residential, waiver, per hourSee all providers →

$28.5M

221K claims

$129.08

$158.23

0.8×

Normal range

T2013Normal range

Habilitation, residential, waiver, per hour

$28.5M

221K claims · 62.9%

Your Cost: $129.08/claim|Median: $158.23

0.8× median

T2020Day habilitation, waiver; per diemSee all providers →

$3.1M

21K claims

$149.43

$87.34

1.7×

Normal range

T2020Normal range

Day habilitation, waiver; per diem

$3.1M

21K claims · 6.9%

Your Cost: $149.43/claim|Median: $87.34

1.7× median

H2015Comprehensive community support services, per 15 minSee all providers →

$2.8M

33K claims

$83.84

$96.24

0.9×

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

$2.8M

33K claims · 6.2%

Your Cost: $83.84/claim|Median: $96.24

0.9× median

H2016Comprehensive community support services, per 15 minSee all providers →

$2.3M

15K claims

$158.72

$321.53

0.5×

Normal range

H2016Normal range

Comprehensive community support services, per 15 min

$2.3M

15K claims · 5.1%

Your Cost: $158.72/claim|Median: $321.53

0.5× median

T2014Habilitation, prevocational, waiver, per hourSee all providers →

$2.1M

17K claims

$129.83

$74.75

1.7×

Normal range

T2014Normal range

Habilitation, prevocational, waiver, per hour

$2.1M

17K claims · 4.7%

Your Cost: $129.83/claim|Median: $74.75

1.7× median

S5150Unskilled respite care, per 15 minSee all providers →

$1.9M

30K claims

$63.37

$84.46

0.8×

Normal range

S5150Normal range

Unskilled respite care, per 15 min

$1.9M

30K claims · 4.2%

Your Cost: $63.37/claim|Median: $84.46

0.8× median

T2016Habilitation, residential, waiver; per diemSee all providers →

$1.6M

13K claims

$120.02

$331.94

0.4×

Normal range

T2016Normal range

Habilitation, residential, waiver; per diem

$1.6M

13K claims · 3.5%

Your Cost: $120.02/claim|Median: $331.94

0.4× median

H0045Respite care services, not in the home, per diemSee all providers →

$946K

13K claims

$74.78

$119.19

0.6×

Normal range

H0045Normal range

Respite care services, not in the home, per diem

$946K

13K claims · 2.1%

Your Cost: $74.78/claim|Median: $119.19

0.6× median

H2025Ongoing support to maintain employment, per 15 minSee all providers →

$923K

8,562 claims

$107.74

$100.49

1.1×

Normal range

H2025Normal range

Ongoing support to maintain employment, per 15 min

$923K

8,562 claims · 2.0%

Your Cost: $107.74/claim|Median: $100.49

1.1× median

T2021Day habilitation, waiver; per 15 minSee all providers →

$808K

8,979 claims

$90.01

$150.51

0.6×

Normal range

T2021Normal range

Day habilitation, waiver; per 15 min

$808K

8,979 claims · 1.8%

Your Cost: $90.01/claim|Median: $150.51

0.6× median

H2023Supported employment, per 15 minSee all providers →

$194K

1,768 claims

$109.65

$103.94

1.1×

Normal range

H2023Normal range

Supported employment, per 15 min

$194K

1,768 claims · 0.4%

Your Cost: $109.65/claim|Median: $103.94

1.1× median

T2041Supports brokerage, self-directed; per 15 minSee all providers →

$57K

378 claims

$151.03

$162.29

0.9×

Normal range

T2041Normal range

Supports brokerage, self-directed; per 15 min

$57K

378 claims · 0.1%

Your Cost: $151.03/claim|Median: $162.29

0.9× median

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