Childrens Home Society of South Dakota
Residential Treatment Facility Emotionally Disturbed Children
Sioux Falls, South Dakota
NPI: 1811017155
Risk Tier
High
Total Paid
$62.7M
$62,659,218
Total Claims
8K
Beneficiaries
8K
Avg Cost/Claim
$7,469.21
Statistical Fraud Flags (2)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $7,469.21 per claim for T2048 (Behavioral health; long-term residential, per diem), which is 5.2× the national median of $1,437.23.
Single-Code
Billing almost exclusively for 1-2 procedure codes despite high total volume.
Bills primarily for code T2048 (1 unique codes).
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