Is J, ARTHUR TRUDEAU MEMORIAL CENTER flagged for Medicaid fraud?

J, ARTHUR TRUDEAU MEMORIAL CENTER (NPI: 1710274402) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does J, ARTHUR TRUDEAU MEMORIAL CENTER bill Medicaid?

J, ARTHUR TRUDEAU MEMORIAL CENTER received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Day Training, Developmentally Disabled Services provider. Located in WARWICK, RI.

What is NPI 1710274402?

NPI 1710274402 is the National Provider Identifier for J, ARTHUR TRUDEAU MEMORIAL CENTER. They are a Day Training, Developmentally Disabled Services provider based in WARWICK, RI. This NPI is registered with the CMS NPI Registry.

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J, ARTHUR TRUDEAU MEMORIAL CENTER

Day Training, Developmentally Disabled Services·WARWICK, RI·NPI: 1710274402Share

Compared to Day Training, Developmentally Disabled Services Peers

Total spending distribution among 56 providers in this specialty

P25MedianP75P90

This provider's total spending of $33.9M is at the 25th percentile among 56 Day Training, Developmentally Disabled Services providers.

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

Total Paid

$33.9M

$33,924,511

Total Claims

25K

Beneficiaries

20K

1.2 claims/patient

Avg Cost/Claim

$1K

Monthly Spending Trend

Yearly Spending

2018

$3.1M

+3%

2019

$3.2M

-18%

2020

$2.6M

+65%

2021

$4.3M

+23%

2022

$5.4M

+29%

2023

$6.9M

+21%

2024

$8.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 11 distinct procedure codes. The top code (T2017 (Habilitation, residential, waiver; 15 min)) accounts for 87% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T2017Habilitation, residential, waiver; 15 minSee all providers →

$29.6M

8,379 claims

$3,532.26

$137.32

25.7×

Top 10%

T2017Top 10%

Habilitation, residential, waiver; 15 min

$29.6M

8,379 claims · 87.2%

Your Cost: $3,532.26/claim|Median: $137.32

25.7× median

T2022Case management, per monthSee all providers →

$1.7M

8,817 claims

$187.96

$202.77

0.9×

Normal range

T2022Normal range

Case management, per month

$1.7M

8,817 claims · 4.9%

Your Cost: $187.96/claim|Median: $202.77

0.9× median

T2025Waiver services, NOS; per 15 minSee all providers →

$961K

2,042 claims

$470.60

$124.39

3.8×

Top 25%

T2025Top 25%

Waiver services, NOS; per 15 min

$961K

2,042 claims · 2.8%

Your Cost: $470.60/claim|Median: $124.39

3.8× median

T2021Day habilitation, waiver; per 15 minSee all providers →

$886K

586 claims

$1,511.37

$150.51

10.0×

Top 5%

T2021Top 5%

Day habilitation, waiver; per 15 min

$886K

586 claims · 2.6%

Your Cost: $1,511.37/claim|Median: $150.51

10.0× median

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

$287K

635 claims

$452.28

$162.29

2.8×

Top 10%

T2041Top 10%

Supports brokerage, self-directed; per 15 min

$287K

635 claims · 0.8%

Your Cost: $452.28/claim|Median: $162.29

2.8× median

T1027Family training and counseling, per 15 minutesSee all providers →

$187K

1,486 claims

$125.60

$53.00

2.4×

Top 5%

T1027Top 5%

Family training and counseling, per 15 minutes

$187K

1,486 claims · 0.6%

Your Cost: $125.60/claim|Median: $53.00

2.4× median

T1024Evaluation & treatment, integrated specialty teamSee all providers →

$185K

1,506 claims

$122.75

$119.08

1.0×

Normal range

T1024Normal range

Evaluation & treatment, integrated specialty team

$185K

1,506 claims · 0.5%

Your Cost: $122.75/claim|Median: $119.08

1.0× median

T1999Miscellaneous therapeutic items and suppliesSee all providers →

$90K

163 claims

$549.22

$28.63

19.2×

Top 5%

T1999Top 5%

Miscellaneous therapeutic items and supplies

$90K

163 claims · 0.3%

Your Cost: $549.22/claim|Median: $28.63

19.2× median

T1016Case management, each 15 minSee all providers →

$71K

1,293 claims

$54.69

$49.62

1.1×

Normal range

T1016Normal range

Case management, each 15 min

$71K

1,293 claims · 0.2%

Your Cost: $54.69/claim|Median: $49.62

1.1× median

T1023Screening to determine appropriateness of consideration for programSee all providers →

$4K

46 claims

$90.82

$106.70

0.9×

Normal range

T1023Normal range

Screening to determine appropriateness of consideration for program

$4K

46 claims · 0.0%

Your Cost: $90.82/claim|Median: $106.70

0.9× median

H0046Mental health services, not otherwise specifiedSee all providers →

$712

12 claims

$59.30

$85.02

0.7×

Normal range

H0046Normal range

Mental health services, not otherwise specified

$712

12 claims · 0.0%

Your Cost: $59.30/claim|Median: $85.02

0.7× median

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