Is THE KIDS WORKSHOP INC flagged for Medicaid fraud?

THE KIDS WORKSHOP INC (NPI: 1558420018) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does THE KIDS WORKSHOP INC bill Medicaid?

THE KIDS WORKSHOP INC received $0.1B 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 1558420018?

NPI 1558420018 is the National Provider Identifier for THE KIDS WORKSHOP INC. 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 KIDS WORKSHOP INC

Community/Behavioral Health·CHARLOTTE, NC·NPI: 1558420018Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $70.9M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$70.9M

$70,855,264

Total Claims

497K

Beneficiaries

21K

23.1 claims/patient

Avg Cost/Claim

$143

Monthly Spending Trend

Yearly Spending

2018

$5.5M

+10%

2019

$6.0M

+12%

2020

$6.7M

-2%

2021

$6.6M

+23%

2022

$8.2M

+145%

2023

$20.0M

-12%

2024

$17.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (H2016 (Comprehensive community support services, per 15 min)) accounts for 28% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H2016Comprehensive community support services, per 15 minSee all providers →

$19.7M

102K claims

$192.12

$321.53

0.6×

Normal range

H2016Normal range

Comprehensive community support services, per 15 min

$19.7M

102K claims · 27.8%

Your Cost: $192.12/claim|Median: $321.53

0.6× median

T2021Day habilitation, waiver; per 15 minSee all providers →

$17.2M

122K claims

$141.58

$150.51

0.9×

Normal range

T2021Normal range

Day habilitation, waiver; per 15 min

$17.2M

122K claims · 24.3%

Your Cost: $141.58/claim|Median: $150.51

0.9× median

T2013Habilitation, residential, waiver, per hourSee all providers →

$11.6M

80K claims

$145.20

$158.23

0.9×

Normal range

T2013Normal range

Habilitation, residential, waiver, per hour

$11.6M

80K claims · 16.3%

Your Cost: $145.20/claim|Median: $158.23

0.9× median

H2015Comprehensive community support services, per 15 minSee all providers →

$7.1M

80K claims

$88.86

$96.24

0.9×

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

$7.1M

80K claims · 10.1%

Your Cost: $88.86/claim|Median: $96.24

0.9× median

T2012Habilitation, educational; per 15 minSee all providers →

$6.7M

35K claims

$194.49

$177.54

1.1×

Normal range

T2012Normal range

Habilitation, educational; per 15 min

$6.7M

35K claims · 9.5%

Your Cost: $194.49/claim|Median: $177.54

1.1× median

S5150Unskilled respite care, per 15 minSee all providers →

$4.1M

44K claims

$93.82

$84.46

1.1×

Normal range

S5150Normal range

Unskilled respite care, per 15 min

$4.1M

44K claims · 5.9%

Your Cost: $93.82/claim|Median: $84.46

1.1× median

T2027Specialized transportation, waiver, per trip, extraSee all providers →

$1.9M

15K claims

$122.99

$88.93

1.4×

Normal range

T2027Normal range

Specialized transportation, waiver, per trip, extra

$1.9M

15K claims · 2.6%

Your Cost: $122.99/claim|Median: $88.93

1.4× median

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

$1.3M

11K claims

$120.84

$100.49

1.2×

Normal range

H2025Normal range

Ongoing support to maintain employment, per 15 min

$1.3M

11K claims · 1.9%

Your Cost: $120.84/claim|Median: $100.49

1.2× median

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

$839K

5,615 claims

$149.34

$119.19

1.3×

Normal range

H0045Normal range

Respite care services, not in the home, per diem

$839K

5,615 claims · 1.2%

Your Cost: $149.34/claim|Median: $119.19

1.3× median

T2020Day habilitation, waiver; per diemSee all providers →

$296K

1,902 claims

$155.65

$87.34

1.8×

Top 25%

T2020Top 25%

Day habilitation, waiver; per diem

$296K

1,902 claims · 0.4%

Your Cost: $155.65/claim|Median: $87.34

1.8× median

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