Is ALTA MIRA SPECIALIZED FAMILY SERVICES, INC. flagged for Medicaid fraud?

ALTA MIRA SPECIALIZED FAMILY SERVICES, INC. (NPI: 1699833640) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does ALTA MIRA SPECIALIZED FAMILY SERVICES, INC. bill Medicaid?

ALTA MIRA SPECIALIZED FAMILY 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 ALBUQUERQUE, NM.

What is NPI 1699833640?

NPI 1699833640 is the National Provider Identifier for ALTA MIRA SPECIALIZED FAMILY SERVICES, INC.. They are a Community/Behavioral Health provider based in ALBUQUERQUE, NM. This NPI is registered with the CMS NPI Registry.

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ALTA MIRA SPECIALIZED FAMILY SERVICES, INC.

Community/Behavioral Health·ALBUQUERQUE, NM·NPI: 1699833640Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $46.1M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-11(81 months)

Total Paid

$46.1M

$46,055,740

Total Claims

358K

Beneficiaries

20K

17.6 claims/patient

Avg Cost/Claim

$129

Monthly Spending Trend

Yearly Spending

2018

$6.4M

+1%

2019

$6.5M

+2%

2020

$6.6M

+7%

2021

$7.1M

+6%

2022

$7.6M

+3%

2023

$7.8M

-47%

2024

$4.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 6 distinct procedure codes. The top code (T2033 (Residential care, NOS; per diem)) accounts for 79% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T2033Residential care, NOS; per diemSee all providers →

$36.4M

290K claims

$125.51

$1,051.57

0.1×

Normal range

T2033Normal range

Residential care, NOS; per diem

$36.4M

290K claims · 79.1%

Your Cost: $125.51/claim|Median: $1,051.57

0.1× median

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

$5.3M

30K claims

$178.39

$169.11

1.1×

Normal range

H2021Normal range

Community-based wrap-around services, per 15 min

$5.3M

30K claims · 11.6%

Your Cost: $178.39/claim|Median: $169.11

1.1× median

T1005Respite care services, per 15 minutesSee all providers →

$3.3M

25K claims

$133.00

$71.40

1.9×

Top 25%

T1005Top 25%

Respite care services, per 15 minutes

$3.3M

25K claims · 7.1%

Your Cost: $133.00/claim|Median: $71.40

1.9× median

T1002RN services, per 15 minutesSee all providers →

$858K

11K claims

$75.98

$37.42

2.0×

Top 25%

T1002Top 25%

RN services, per 15 minutes

$858K

11K claims · 1.9%

Your Cost: $75.98/claim|Median: $37.42

2.0× median

T1003LPN/LVN services, per 15 minutesSee all providers →

$73K

1,533 claims

$47.72

$24.24

2.0×

Normal range

T1003Normal range

LPN/LVN services, per 15 minutes

$73K

1,533 claims · 0.2%

Your Cost: $47.72/claim|Median: $24.24

2.0× median

T2021Day habilitation, waiver; per 15 minSee all providers →

$55K

512 claims

$106.62

$150.51

0.7×

Normal range

T2021Normal range

Day habilitation, waiver; per 15 min

$55K

512 claims · 0.1%

Your Cost: $106.62/claim|Median: $150.51

0.7× median

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