Beacon Specialized Living Services Inc.
Residential Treatment Facility Intellectual and/or Developmental Disabilities
Bangor, Michigan
NPI: 1790835296
Risk Tier
High
Total Paid
$302.4M
$302,447,891
Total Claims
412K
Beneficiaries
73K
Avg Cost/Claim
$734.36
Active billing period: 84 months (2018-01 to 2024-12)
Statistical Fraud Flags (2)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $1,233.02 per claim for H2016 (Comprehensive community support services, per 15 min), which is 3.8× the national median of $321.53.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 14 procedure codes: 99212 at 8.0× median, 99213 at 4.9× median.
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