Is DEVELOPMENTAL DISABILITIES RESOURCES, INC. flagged for Medicaid fraud?

DEVELOPMENTAL DISABILITIES RESOURCES, INC. (NPI: 1821194531) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does DEVELOPMENTAL DISABILITIES RESOURCES, INC. bill Medicaid?

DEVELOPMENTAL DISABILITIES RESOURCES, INC. 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 1821194531?

NPI 1821194531 is the National Provider Identifier for DEVELOPMENTAL DISABILITIES RESOURCES, INC.. They are a Community/Behavioral Health provider based in CHARLOTTE, NC. This NPI is registered with the CMS NPI Registry.

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DEVELOPMENTAL DISABILITIES RESOURCES, INC.

Community/Behavioral Health·CHARLOTTE, NC·NPI: 1821194531Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $105.4M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2021-11(47 months)

Billing appears to have stoppedLast active: 2021-11

Total Paid

$105.4M

$105,402,691

Total Claims

820K

Beneficiaries

52K

15.9 claims/patient

Avg Cost/Claim

$129

Monthly Spending Trend

Yearly Spending

2018

$23.4M

+11%

2019

$25.9M

+12%

2020

$29.1M

-7%

2021

$27.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 13 distinct procedure codes. The top code (T2013 (Habilitation, residential, waiver, per hour)) accounts for 46% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T2013Habilitation, residential, waiver, per hourSee all providers →

$48.6M

330K claims

$147.25

$158.23

0.9×

Normal range

T2013Normal range

Habilitation, residential, waiver, per hour

$48.6M

330K claims · 46.2%

Your Cost: $147.25/claim|Median: $158.23

0.9× median

H2016Comprehensive community support services, per 15 minSee all providers →

$12.3M

70K claims

$175.60

$321.53

0.5×

Normal range

H2016Normal range

Comprehensive community support services, per 15 min

$12.3M

70K claims · 11.7%

Your Cost: $175.60/claim|Median: $321.53

0.5× median

T2021Day habilitation, waiver; per 15 minSee all providers →

$12.0M

102K claims

$118.27

$150.51

0.8×

Normal range

T2021Normal range

Day habilitation, waiver; per 15 min

$12.0M

102K claims · 11.4%

Your Cost: $118.27/claim|Median: $150.51

0.8× median

T2020Day habilitation, waiver; per diemSee all providers →

$10.4M

66K claims

$157.78

$87.34

1.8×

Top 25%

T2020Top 25%

Day habilitation, waiver; per diem

$10.4M

66K claims · 9.8%

Your Cost: $157.78/claim|Median: $87.34

1.8× median

S5150Unskilled respite care, per 15 minSee all providers →

$8.7M

122K claims

$71.82

$84.46

0.9×

Normal range

S5150Normal range

Unskilled respite care, per 15 min

$8.7M

122K claims · 8.3%

Your Cost: $71.82/claim|Median: $84.46

0.9× median

H2015Comprehensive community support services, per 15 minSee all providers →

$5.3M

68K claims

$78.88

$96.24

0.8×

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

$5.3M

68K claims · 5.1%

Your Cost: $78.88/claim|Median: $96.24

0.8× median

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

$2.3M

25K claims

$91.71

$119.19

0.8×

Normal range

H0045Normal range

Respite care services, not in the home, per diem

$2.3M

25K claims · 2.2%

Your Cost: $91.71/claim|Median: $119.19

0.8× median

T2014Habilitation, prevocational, waiver, per hourSee all providers →

$1.8M

13K claims

$134.85

$74.75

1.8×

Normal range

T2014Normal range

Habilitation, prevocational, waiver, per hour

$1.8M

13K claims · 1.7%

Your Cost: $134.85/claim|Median: $74.75

1.8× median

T2025Waiver services, NOS; per 15 minSee all providers →

$1.6M

6,456 claims

$249.99

$124.39

2.0×

Normal range

T2025Normal range

Waiver services, NOS; per 15 min

$1.6M

6,456 claims · 1.5%

Your Cost: $249.99/claim|Median: $124.39

2.0× median

T2012Habilitation, educational; per 15 minSee all providers →

$1.3M

8,396 claims

$155.01

$177.54

0.9×

Normal range

T2012Normal range

Habilitation, educational; per 15 min

$1.3M

8,396 claims · 1.2%

Your Cost: $155.01/claim|Median: $177.54

0.9× median

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

$977K

9,597 claims

$101.81

$100.49

1.0×

Normal range

H2025Normal range

Ongoing support to maintain employment, per 15 min

$977K

9,597 claims · 0.9%

Your Cost: $101.81/claim|Median: $100.49

1.0× median

T2013TF See all providers →

$34K

241 claims

$143.12

$168.77

0.8×

Normal range

T2013TFNormal range

$34K

241 claims · 0.0%

Your Cost: $143.12/claim|Median: $168.77

0.8× median

99509Home visit, assistance w/ ADLsSee all providers →

$2K

14 claims

$143.38

$51.71

2.8×

Top 10%

99509Top 10%

Home visit, assistance w/ ADLs

$2K

14 claims · 0.0%

Your Cost: $143.38/claim|Median: $51.71

2.8× median

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