Is CENTERSTONE OF ILLINOIS, INC flagged for Medicaid fraud?

CENTERSTONE OF ILLINOIS, INC (NPI: 1851757579) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does CENTERSTONE OF ILLINOIS, INC bill Medicaid?

CENTERSTONE OF ILLINOIS, INC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Clinic/Center, Mental Health (Including Community Mental Health Center) provider. Located in ALTON, IL.

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CENTERSTONE OF ILLINOIS, INC

Clinic/Center, Mental Health (Including Community Mental Health Center)·ALTON, IL·NPI: 1851757579Share

Compared to Clinic/Center, Mental Health (Including Community Mental Health Center) Peers

Total spending distribution among 44 providers in this specialty

P25MedianP75P90

This provider's total spending of $36.7M is at the 50th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2018-01→2024-09(81 months)

Total Paid

$36.7M

$36,677,209

Total Claims

467K

Beneficiaries

183K

2.6 claims/patient

Avg Cost/Claim

$78

Monthly Spending Trend

Yearly Spending

2018

$4.2M

+58%

2019

$6.6M

-0%

2020

$6.6M

-37%

2021

$4.2M

+24%

2022

$5.1M

+6%

2023

$5.5M

-17%

2024

$4.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 16 distinct procedure codes. The top code (H2015 (Comprehensive community support services, per 15 min)) accounts for 40% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H2015Comprehensive community support services, per 15 minSee all providers →

$14.6M

175K claims

$83.02

$96.24

0.9×

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

$14.6M

175K claims · 39.7%

Your Cost: $83.02/claim|Median: $96.24

0.9× median

H0004Behavioral health counseling & therapy, per 15 minSee all providers →

$9.3M

107K claims

$86.71

$74.63

1.2×

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$9.3M

107K claims · 25.3%

Your Cost: $86.71/claim|Median: $74.63

1.2× median

T1016Case management, each 15 minSee all providers →

$4.1M

85K claims

$49.02

$49.62

1.0×

Normal range

T1016Normal range

Case management, each 15 min

$4.1M

85K claims · 11.3%

Your Cost: $49.02/claim|Median: $49.62

1.0× median

H2000Comprehensive multidisciplinary evaluationSee all providers →

$3.9M

37K claims

$104.36

$114.71

0.9×

Normal range

H2000Normal range

Comprehensive multidisciplinary evaluation

$3.9M

37K claims · 10.6%

Your Cost: $104.36/claim|Median: $114.71

0.9× median

S9484Crisis intervention mental health services, per hourSee all providers →

$2.1M

8,632 claims

$248.05

$249.51

1.0×

Normal range

S9484Normal range

Crisis intervention mental health services, per hour

$2.1M

8,632 claims · 5.8%

Your Cost: $248.05/claim|Median: $249.51

1.0× median

H2011Crisis intervention service, per 15 minutesSee all providers →

$1.4M

13K claims

$102.90

$215.80

0.5×

Normal range

H2011Normal range

Crisis intervention service, per 15 minutes

$1.4M

13K claims · 3.8%

Your Cost: $102.90/claim|Median: $215.80

0.5× median

H2010Comprehensive medication services, per 15 minSee all providers →

$677K

31K claims

$22.01

$62.69

0.4×

Normal range

H2010Normal range

Comprehensive medication services, per 15 min

$677K

31K claims · 1.8%

Your Cost: $22.01/claim|Median: $62.69

0.4× median

H0031Mental health assessment by non-physicianSee all providers →

$160K

1,553 claims

$102.93

$96.18

1.1×

Normal range

H0031Normal range

Mental health assessment by non-physician

$160K

1,553 claims · 0.4%

Your Cost: $102.93/claim|Median: $96.18

1.1× median

H0032Mental health service plan developmentSee all providers →

$141K

2,428 claims

$58.28

$80.64

0.7×

Normal range

H0032Normal range

Mental health service plan development

$141K

2,428 claims · 0.4%

Your Cost: $58.28/claim|Median: $80.64

0.7× median

T1023Screening to determine appropriateness of consideration for programSee all providers →

$138K

434 claims

$317.11

$106.70

3.0×

Top 25%

T1023Top 25%

Screening to determine appropriateness of consideration for program

$138K

434 claims · 0.4%

Your Cost: $317.11/claim|Median: $106.70

3.0× median

H0002Behavioral health screeningSee all providers →

$70K

1,697 claims

$41.26

$38.77

1.1×

Normal range

H0002Normal range

Behavioral health screening

$70K

1,697 claims · 0.2%

Your Cost: $41.26/claim|Median: $38.77

1.1× median

T1502Administration of oral, intramuscular, or subcutaneous medicationSee all providers →

$56K

4,035 claims

$13.78

$7.86

1.8×

Normal range

T1502Normal range

Administration of oral, intramuscular, or subcutaneous medication

$56K

4,035 claims · 0.2%

Your Cost: $13.78/claim|Median: $7.86

1.8× median

H0039Assertive community treatment, per diemSee all providers →

$23K

108 claims

$213.83

$132.62

1.6×

Normal range

H0039Normal range

Assertive community treatment, per diem

$23K

108 claims · 0.1%

Your Cost: $213.83/claim|Median: $132.62

1.6× median

H0020Alcohol/drug services; methadone administrationSee all providers →

$8K

108 claims

$70.34

$18.95

3.7×

Top 25%

H0020Top 25%

Alcohol/drug services; methadone administration

$8K

108 claims · 0.0%

Your Cost: $70.34/claim|Median: $18.95

3.7× median

90791Psychiatric diagnostic evaluationSee all providers →

$6K

19 claims

$324.74

$99.21

3.3×

Top 5%

90791Top 5%

Psychiatric diagnostic evaluation

$6K

19 claims · 0.0%

Your Cost: $324.74/claim|Median: $99.21

3.3× median

S9480Intensive outpatient psychiatric services, per diemSee all providers →

$3K

21 claims

$136.92

$135.70

1.0×

Normal range

S9480Normal range

Intensive outpatient psychiatric services, per diem

$3K

21 claims · 0.0%

Your Cost: $136.92/claim|Median: $135.70

1.0× median

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$195.1M

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$153.3M

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