Is CHILDREN'S CENTER PROGRAMS, LLC flagged for Medicaid fraud?

CHILDREN'S CENTER PROGRAMS, LLC (NPI: 1881081198) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does CHILDREN'S CENTER PROGRAMS, LLC bill Medicaid?

CHILDREN'S CENTER PROGRAMS, LLC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Day Training, Developmentally Disabled Services provider. Located in NEPTUNE, NJ.

What is NPI 1881081198?

NPI 1881081198 is the National Provider Identifier for CHILDREN'S CENTER PROGRAMS, LLC. They are a Day Training, Developmentally Disabled Services provider based in NEPTUNE, NJ. This NPI is registered with the CMS NPI Registry.

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CHILDREN'S CENTER PROGRAMS, LLC

Day Training, Developmentally Disabled Services·NEPTUNE, NJ·NPI: 1881081198Share

Compared to Day Training, Developmentally Disabled Services Peers

Total spending distribution among 56 providers in this specialty

P25MedianP75P90

This provider's total spending of $44.6M is at the 25th percentile among 56 Day Training, Developmentally Disabled Services providers.

Active Billing Period:2018-01→2024-12(81 months)

Total Paid

$44.6M

$44,586,614

Total Claims

314K

Beneficiaries

32K

9.8 claims/patient

Avg Cost/Claim

$142

Monthly Spending Trend

Yearly Spending

2018

$6.5M

+17%

2019

$7.6M

-66%

2020

$2.5M

+41%

2021

$3.6M

+97%

2022

$7.1M

+18%

2023

$8.4M

+8%

2024

$9.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 4 distinct procedure codes. The top code (T2021 (Day habilitation, waiver; per 15 min)) accounts for 91% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T2021Day habilitation, waiver; per 15 minSee all providers →

$40.5M

262K claims

$154.99

$150.51

1.0×

Normal range

T2021Normal range

Day habilitation, waiver; per 15 min

$40.5M

262K claims · 90.9%

Your Cost: $154.99/claim|Median: $150.51

1.0× median

A0090Non-emergency transport, per mileSee all providers →

$4.0M

52K claims

$77.61

$10.45

7.4×

Top 10%

A0090Top 10%

Non-emergency transport, per mile

$4.0M

52K claims · 9.1%

Your Cost: $77.61/claim|Median: $10.45

7.4× median

97535Self-care/home management training, per 15 minutesSee all providers →

$12K

221 claims

$53.46

$18.18

2.9×

Top 25%

97535Top 25%

Self-care/home management training, per 15 minutes

$12K

221 claims · 0.0%

Your Cost: $53.46/claim|Median: $18.18

2.9× median

S8990 See all providers →

$5K

98 claims

$55.72

$78.36

0.7×

Normal range

S8990Normal range

$5K

98 claims · 0.0%

Your Cost: $55.72/claim|Median: $78.36

0.7× median

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