Mount Prospect Academy Inc.
Residential Treatment Facility Emotionally Disturbed Children
Plymouth, New Hampshire
NPI: 1720281264
Risk Tier
Elevated
Total Paid
$76.5M
$76,545,940
Total Claims
16K
Beneficiaries
11K
Avg Cost/Claim
$4,698.66
Statistical Fraud Flags (1)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $6,136.57 per claim for H0019 (Behavioral health; residential, per diem), which is 17.2× the national median of $357.16.
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024