Is RWW OUTPATIENT REHAB SERVICES, INC. flagged for Medicaid fraud?

RWW OUTPATIENT REHAB SERVICES, INC. (NPI: 1629409867) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does RWW OUTPATIENT REHAB SERVICES, INC. bill Medicaid?

RWW OUTPATIENT REHAB SERVICES, INC. received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a In Home Supportive Care provider. Located in BREWER, ME.

What is NPI 1629409867?

NPI 1629409867 is the National Provider Identifier for RWW OUTPATIENT REHAB SERVICES, INC.. They are a In Home Supportive Care provider based in BREWER, ME. This NPI is registered with the CMS NPI Registry.

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RWW OUTPATIENT REHAB SERVICES, INC.

In Home Supportive Care·BREWER, ME·NPI: 1629409867Share

Compared to In Home Supportive Care Peers

Total spending distribution among 57 providers in this specialty

P25MedianP75P90

This provider's total spending of $36.5M is at the 25th percentile among 57 In Home Supportive Care providers.

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

Total Paid

$36.5M

$36,458,593

Total Claims

307K

Beneficiaries

34K

9.1 claims/patient

Avg Cost/Claim

$119

Monthly Spending Trend

Yearly Spending

2018

$4.2M

-14%

2019

$3.6M

+23%

2020

$4.4M

+16%

2021

$5.2M

+2%

2022

$5.3M

+27%

2023

$6.7M

+6%

2024

$7.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (96165 (Health behavior intervention, family, each additional fifteen minutes)) accounts for 33% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

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

$12.0M

60K claims

$199.32

$15.54

12.8×

Top 1%

96165Top 1%

Health behavior intervention, family, each additional fifteen minutes

$12.0M

60K claims · 32.9%

Your Cost: $199.32/claim|Median: $15.54

12.8× median

T2016Habilitation, residential, waiver; per diemSee all providers →

$9.0M

20K claims

$452.43

$331.94

1.4×

Normal range

T2016Normal range

Habilitation, residential, waiver; per diem

$9.0M

20K claims · 24.7%

Your Cost: $452.43/claim|Median: $331.94

1.4× median

96153Health/behavior intervention, groupSee all providers →

$5.5M

25K claims

$217.09

$6.67

32.5×

Top 1%

96153Top 1%

Health/behavior intervention, group

$5.5M

25K claims · 15.0%

Your Cost: $217.09/claim|Median: $6.67

32.5× median

97130 See all providers →

$3.2M

40K claims

$78.95

$21.60

3.7×

Top 25%

97130Top 25%

$3.2M

40K claims · 8.7%

Your Cost: $78.95/claim|Median: $21.60

3.7× median

96164 See all providers →

$2.1M

60K claims

$34.91

$9.87

3.5×

Top 5%

96164Top 5%

$2.1M

60K claims · 5.8%

Your Cost: $34.91/claim|Median: $9.87

3.5× median

T1016Case management, each 15 minSee all providers →

$1.9M

41K claims

$46.59

$49.62

0.9×

Normal range

T1016Normal range

Case management, each 15 min

$1.9M

41K claims · 5.2%

Your Cost: $46.59/claim|Median: $49.62

0.9× median

G0515 See all providers →

$1.7M

17K claims

$100.94

$23.57

4.3×

Top 25%

G0515Top 25%

$1.7M

17K claims · 4.6%

Your Cost: $100.94/claim|Median: $23.57

4.3× median

97129 See all providers →

$749K

40K claims

$18.83

$17.39

1.1×

Normal range

97129Normal range

$749K

40K claims · 2.1%

Your Cost: $18.83/claim|Median: $17.39

1.1× median

97537 See all providers →

$325K

2,362 claims

$137.57

$24.64

5.6×

Top 10%

97537Top 10%

$325K

2,362 claims · 0.9%

Your Cost: $137.57/claim|Median: $24.64

5.6× median

96152Health behavior intervention, individualSee all providers →

$20K

326 claims

$61.33

$20.02

3.1×

Top 25%

96152Top 25%

Health behavior intervention, individual

$20K

326 claims · 0.1%

Your Cost: $61.33/claim|Median: $20.02

3.1× median

96156 See all providers →

$9K

106 claims

$82.66

$22.36

3.7×

Top 25%

96156Top 25%

$9K

106 claims · 0.0%

Your Cost: $82.66/claim|Median: $22.36

3.7× median

97110Therapeutic exercises, each 15 minSee all providers →

$3K

685 claims

$3.67

$24.49

0.1×

Normal range

97110Normal range

Therapeutic exercises, each 15 min

$3K

685 claims · 0.0%

Your Cost: $3.67/claim|Median: $24.49

0.1× median

97530Therapeutic activities, each 15 minSee all providers →

$480

168 claims

$2.86

$33.11

0.1×

Normal range

97530Normal range

Therapeutic activities, each 15 min

$480

168 claims · 0.0%

Your Cost: $2.86/claim|Median: $33.11

0.1× median

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