Is SAMPLE SUPPORTS flagged for Medicaid fraud?

SAMPLE SUPPORTS (NPI: 1649577453) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does SAMPLE SUPPORTS bill Medicaid?

SAMPLE SUPPORTS 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 LONGMONT, CO.

What is NPI 1649577453?

NPI 1649577453 is the National Provider Identifier for SAMPLE SUPPORTS. They are a Community/Behavioral Health provider based in LONGMONT, CO. This NPI is registered with the CMS NPI Registry.

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SAMPLE SUPPORTS

Community/Behavioral Health·LONGMONT, CO·NPI: 1649577453Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $105.7M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$105.7M

$105,669,509

Total Claims

446K

Beneficiaries

81K

5.5 claims/patient

Avg Cost/Claim

$237

Monthly Spending Trend

Yearly Spending

2018

$14.6M

+20%

2019

$17.6M

+1%

2020

$17.7M

-17%

2021

$14.7M

-15%

2022

$12.5M

+11%

2023

$13.9M

+7%

2024

$14.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (T2016 (Habilitation, residential, waiver; per diem)) accounts for 54% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T2016Habilitation, residential, waiver; per diemSee all providers →

$56.7M

65K claims

$875.79

$331.94

2.6×

Normal range

T2016Normal range

Habilitation, residential, waiver; per diem

$56.7M

65K claims · 53.6%

Your Cost: $875.79/claim|Median: $331.94

2.6× median

T2019Habilitation, prevocational, waiver; per 15 minSee all providers →

$17.6M

56K claims

$316.72

$88.91

3.6×

Top 25%

T2019Top 25%

Habilitation, prevocational, waiver; per 15 min

$17.6M

56K claims · 16.7%

Your Cost: $316.72/claim|Median: $88.91

3.6× median

T2021Day habilitation, waiver; per 15 minSee all providers →

$14.5M

79K claims

$184.23

$150.51

1.2×

Normal range

T2021Normal range

Day habilitation, waiver; per 15 min

$14.5M

79K claims · 13.7%

Your Cost: $184.23/claim|Median: $150.51

1.2× median

H2019Therapeutic behavioral services, per 15 minSee all providers →

$9.8M

133K claims

$73.70

$84.12

0.9×

Normal range

H2019Normal range

Therapeutic behavioral services, per 15 min

$9.8M

133K claims · 9.3%

Your Cost: $73.70/claim|Median: $84.12

0.9× median

T2003Non-emergency transport; encounter/tripSee all providers →

$3.2M

53K claims

$61.68

$21.70

2.8×

Top 25%

T2003Top 25%

Non-emergency transport; encounter/trip

$3.2M

53K claims · 3.1%

Your Cost: $61.68/claim|Median: $21.70

2.8× median

T2024Supported employment, waiver, per diemSee all providers →

$1.5M

15K claims

$97.69

$259.38

0.4×

Normal range

T2024Normal range

Supported employment, waiver, per diem

$1.5M

15K claims · 1.4%

Your Cost: $97.69/claim|Median: $259.38

0.4× median

H2023Supported employment, per 15 minSee all providers →

$705K

5,833 claims

$120.92

$103.94

1.2×

Normal range

H2023Normal range

Supported employment, per 15 min

$705K

5,833 claims · 0.7%

Your Cost: $120.92/claim|Median: $103.94

1.2× median

S5130Homemaker service, NOS; per 15 minSee all providers →

$652K

12K claims

$52.68

$48.76

1.1×

Normal range

S5130Normal range

Homemaker service, NOS; per 15 min

$652K

12K claims · 0.6%

Your Cost: $52.68/claim|Median: $48.76

1.1× median

T1019Personal care services, per 15 minSee all providers →

$567K

13K claims

$43.59

$82.47

0.5×

Normal range

T1019Normal range

Personal care services, per 15 min

$567K

13K claims · 0.5%

Your Cost: $43.59/claim|Median: $82.47

0.5× median

H2021Community-based wrap-around services, per 15 minSee all providers →

$425K

9,904 claims

$42.91

$169.11

0.3×

Normal range

H2021Normal range

Community-based wrap-around services, per 15 min

$425K

9,904 claims · 0.4%

Your Cost: $42.91/claim|Median: $169.11

0.3× median

T2004Non-emergency transportation, commercial carrier, encounter tripSee all providers →

$16K

129 claims

$125.88

$8.80

14.3×

Top 10%

T2004Top 10%

Non-emergency transportation, commercial carrier, encounter trip

$16K

129 claims · 0.0%

Your Cost: $125.88/claim|Median: $8.80

14.3× median

T2034Crisis intervention, per 15 minSee all providers →

5,015 claims

$0.00

$254.45

—

Normal range

T2034Normal range

Crisis intervention, per 15 min

5,015 claims · 0.0%

Your Cost: $0.00/claim|Median: $254.45

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