Is INREACH flagged for Medicaid fraud?

INREACH (NPI: 1720187420) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does INREACH bill Medicaid?

INREACH 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 1720187420?

NPI 1720187420 is the National Provider Identifier for INREACH. They are a Community/Behavioral Health provider based in CHARLOTTE, NC. This NPI is registered with the CMS NPI Registry.

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INREACH

Community/Behavioral Health·CHARLOTTE, NC·NPI: 1720187420Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $68.5M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$68.5M

$68,513,539

Total Claims

531K

Beneficiaries

51K

10.4 claims/patient

Avg Cost/Claim

$129

Monthly Spending Trend

Yearly Spending

2018

$7.8M

-3%

2019

$7.6M

+7%

2020

$8.1M

-4%

2021

$7.7M

+17%

2022

$9.0M

+74%

2023

$15.8M

-20%

2024

$12.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (T2012 (Habilitation, educational; per 15 min)) accounts for 32% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T2012Habilitation, educational; per 15 minSee all providers →

$21.8M

126K claims

$173.17

$177.54

1.0×

Normal range

T2012Normal range

Habilitation, educational; per 15 min

$21.8M

126K claims · 31.9%

Your Cost: $173.17/claim|Median: $177.54

1.0× median

T2013Habilitation, residential, waiver, per hourSee all providers →

$21.2M

158K claims

$134.75

$158.23

0.9×

Normal range

T2013Normal range

Habilitation, residential, waiver, per hour

$21.2M

158K claims · 31.0%

Your Cost: $134.75/claim|Median: $158.23

0.9× median

H2015Comprehensive community support services, per 15 minSee all providers →

$9.4M

104K claims

$90.34

$96.24

0.9×

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

$9.4M

104K claims · 13.7%

Your Cost: $90.34/claim|Median: $96.24

0.9× median

S5150Unskilled respite care, per 15 minSee all providers →

$5.2M

57K claims

$92.36

$84.46

1.1×

Normal range

S5150Normal range

Unskilled respite care, per 15 min

$5.2M

57K claims · 7.6%

Your Cost: $92.36/claim|Median: $84.46

1.1× median

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

$4.6M

39K claims

$116.54

$100.49

1.2×

Normal range

H2025Normal range

Ongoing support to maintain employment, per 15 min

$4.6M

39K claims · 6.7%

Your Cost: $116.54/claim|Median: $100.49

1.2× median

T2016Habilitation, residential, waiver; per diemSee all providers →

$2.0M

13K claims

$160.47

$331.94

0.5×

Normal range

T2016Normal range

Habilitation, residential, waiver; per diem

$2.0M

13K claims · 3.0%

Your Cost: $160.47/claim|Median: $331.94

0.5× median

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

$1.8M

12K claims

$154.10

$162.29

0.9×

Normal range

T2041Normal range

Supports brokerage, self-directed; per 15 min

$1.8M

12K claims · 2.6%

Your Cost: $154.10/claim|Median: $162.29

0.9× median

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

$904K

10K claims

$88.34

$119.19

0.7×

Normal range

H0045Normal range

Respite care services, not in the home, per diem

$904K

10K claims · 1.3%

Your Cost: $88.34/claim|Median: $119.19

0.7× median

H2026 See all providers →

$498K

5,968 claims

$83.52

$76.18

1.1×

Normal range

H2026Normal range

$498K

5,968 claims · 0.7%

Your Cost: $83.52/claim|Median: $76.18

1.1× median

T1017Targeted case management, per 15 minSee all providers →

$467K

1,865 claims

$250.50

$69.56

3.6×

Top 25%

T1017Top 25%

Targeted case management, per 15 min

$467K

1,865 claims · 0.7%

Your Cost: $250.50/claim|Median: $69.56

3.6× median

T2021Day habilitation, waiver; per 15 minSee all providers →

$460K

4,230 claims

$108.81

$150.51

0.7×

Normal range

T2021Normal range

Day habilitation, waiver; per 15 min

$460K

4,230 claims · 0.7%

Your Cost: $108.81/claim|Median: $150.51

0.7× median

H2023Supported employment, per 15 minSee all providers →

$104K

667 claims

$156.67

$103.94

1.5×

Top 25%

H2023Top 25%

Supported employment, per 15 min

$104K

667 claims · 0.2%

Your Cost: $156.67/claim|Median: $103.94

1.5× median

S5135Companion care, adult, per diemSee all providers →

$6K

45 claims

$129.27

$52.25

2.5×

Top 25%

S5135Top 25%

Companion care, adult, per diem

$6K

45 claims · 0.0%

Your Cost: $129.27/claim|Median: $52.25

2.5× median

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