Is COMMUNITY LIVING SERVICES, INC. flagged for Medicaid fraud?

COMMUNITY LIVING SERVICES, INC. (NPI: 1760864805) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does COMMUNITY LIVING SERVICES, INC. bill Medicaid?

COMMUNITY LIVING 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 WAYNE, MI.

What is NPI 1760864805?

NPI 1760864805 is the National Provider Identifier for COMMUNITY LIVING SERVICES, INC.. They are a Community/Behavioral Health provider based in WAYNE, MI. This NPI is registered with the CMS NPI Registry.

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COMMUNITY LIVING SERVICES, INC.

Community/Behavioral Health·WAYNE, MI·NPI: 1760864805Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $43.9M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$43.9M

$43,923,068

Total Claims

169K

Beneficiaries

113K

1.5 claims/patient

Avg Cost/Claim

$259

Monthly Spending Trend

Yearly Spending

2018

$3.2M

+186%

2019

$9.0M

-2%

2020

$8.8M

+26%

2021

$11.1M

-5%

2022

$10.5M

-93%

2023

$703K

-14%

2024

$607K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 12 distinct procedure codes. The top code (T1016 (Case management, each 15 min)) accounts for 64% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1016Case management, each 15 minSee all providers →

$28.0M

119K claims

$236.36

$49.62

4.8×

Top 10%

T1016Top 10%

Case management, each 15 min

$28.0M

119K claims · 63.8%

Your Cost: $236.36/claim|Median: $49.62

4.8× median

T1017Targeted case management, per 15 minSee all providers →

$13.9M

43K claims

$324.01

$69.56

4.7×

Top 5%

T1017Top 5%

Targeted case management, per 15 min

$13.9M

43K claims · 31.7%

Your Cost: $324.01/claim|Median: $69.56

4.7× median

H0031Mental health assessment by non-physicianSee all providers →

$792K

1,950 claims

$406.39

$96.18

4.2×

Top 5%

H0031Top 5%

Mental health assessment by non-physician

$792K

1,950 claims · 1.8%

Your Cost: $406.39/claim|Median: $96.18

4.2× median

H2000Comprehensive multidisciplinary evaluationSee all providers →

$635K

3,096 claims

$205.04

$114.71

1.8×

Top 25%

H2000Top 25%

Comprehensive multidisciplinary evaluation

$635K

3,096 claims · 1.4%

Your Cost: $205.04/claim|Median: $114.71

1.8× median

T2023Community transition, waiver; per serviceSee all providers →

$236K

477 claims

$494.93

$300.13

1.6×

Top 25%

T2023Top 25%

Community transition, waiver; per service

$236K

477 claims · 0.5%

Your Cost: $494.93/claim|Median: $300.13

1.6× median

H0032Mental health service plan developmentSee all providers →

$212K

1,516 claims

$139.96

$80.64

1.7×

Top 25%

H0032Top 25%

Mental health service plan development

$212K

1,516 claims · 0.5%

Your Cost: $139.96/claim|Median: $80.64

1.7× median

E1399Durable medical equipment, miscellaneousSee all providers →

$50K

93 claims

$537.25

$104.06

5.2×

Top 25%

E1399Top 25%

Durable medical equipment, miscellaneous

$50K

93 claims · 0.1%

Your Cost: $537.25/claim|Median: $104.06

5.2× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$17K

188 claims

$92.98

$53.41

1.7×

Top 25%

99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$17K

188 claims · 0.0%

Your Cost: $92.98/claim|Median: $53.41

1.7× median

H0046Mental health services, not otherwise specifiedSee all providers →

$11K

341 claims

$33.06

$85.02

0.4×

Normal range

H0046Normal range

Mental health services, not otherwise specified

$11K

341 claims · 0.0%

Your Cost: $33.06/claim|Median: $85.02

0.4× median

T1002RN services, per 15 minutesSee all providers →

$2K

123 claims

$19.86

$37.42

0.5×

Normal range

T1002Normal range

RN services, per 15 minutes

$2K

123 claims · 0.0%

Your Cost: $19.86/claim|Median: $37.42

0.5× median

99215Office/outpatient visit, high complexitySee all providers →

$2K

13 claims

$143.33

$74.09

1.9×

Top 25%

99215Top 25%

Office/outpatient visit, high complexity

$2K

13 claims · 0.0%

Your Cost: $143.33/claim|Median: $74.09

1.9× median

T1001Nursing assessment/evaluation, per visitSee all providers →

$1K

14 claims

$88.20

$49.05

1.8×

Top 25%

T1001Top 25%

Nursing assessment/evaluation, per visit

$1K

14 claims · 0.0%

Your Cost: $88.20/claim|Median: $49.05

1.8× median

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Community Mental Health Authority of Clinton Eaton Ingham Counties

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$368.4M

Macomb Oakland Regional Center Inc.

Community/Behavioral Health

$342.6M

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Other top providers in Community/Behavioral Health

Guardiantrac. LLC

Sturgis, MI

$2.68B

Alabama Department of Mental Health and Mental Retardation

Montgomery, AL

$2.25B

County of Santa Clara

San Jose, CA

$1.73B

County of Riverside

Riverside, CA

$1.40B

City & County of San Francisco

San Francisco, CA

$1.34B

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