Living Innovations Support Services LLC
Cost Outlier
Billing over 3× the national median for specific procedure codes.
This provider bills $919.89 per claim for S5140 (Foster care, adult; per diem), which is 3.6× the national median of $252.32.
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $2.9M (2020) to $19.8M (2021) — a 586% swing with $16.9M absolute change.
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 586% from 2020 to 2021.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Cost Outlier
Cost Outlier means this provider charges significantly more per claim than other providers billing the same procedure codes. This could indicate upcoding, inflated charges, or specialized services that justify higher costs.
Billing Swing
Billing Swing means this provider's total billing changed dramatically from one year to the next — increasing or decreasing by more than 200% with over $1M in absolute change. This could indicate a change in practice scope, a billing scheme ramping up, or legitimate growth.
Explosive Growth
Explosive Growth means this provider's billing increased by more than 500% year-over-year. While rapid expansion can be legitimate, this pattern has been observed in fraud schemes that ramp up billing quickly before detection.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Advanced Detection Signals
Additional statistical tests from advanced fraud detection methods
These signals use advanced statistical methods including digit distribution analysis, change-point detection, and market concentration metrics. Learn more.
Risk Assessment
Bills $919.89 per claim for S5140 (Foster care, adult; per diem) — 3.6× the national median of $252.32.
This is a statistical summary, not an accusation. See our methodology.
Compared to Day Training Developmentally Disabled Services Peers
Total spending distribution among 22 providers in this specialty
This provider's total spending of $129.3M is at the 50th percentile among 22 Day Training Developmentally Disabled Services providers.
Total Paid
$129.3M
$129,273,293
Total Claims
224K
Beneficiaries
41K
5.5 claims/patient
Avg Cost/Claim
$576
#898 of 618K providers by total spending(top 0.1%)
🔍 Analysis
Provider Overview
Living Innovations Support Services LLC is a Day Training Developmentally Disabled Services provider based in Dover, NH. From the 2018–2024 period, this provider received $129.3M in Medicaid payments across 224K claims.
Why This Matters
This provider received $129.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,159 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 7 distinct procedure codes. The top code (S5140 (Foster care, adult; per diem)) accounts for 77% of total spending.
Foster care, adult; per diem
$99.9M
109K claims · 77.2%
$15.6M
53K claims
$294.43
$150.51
Day habilitation, waiver; per 15 min
$15.6M
53K claims · 12.1%
$11.7M
54K claims
$218.58
$137.32
Habilitation, residential, waiver; 15 min
$11.7M
54K claims · 9.1%
Supported employment, per 15 min
$2.0M
7K claims · 1.5%
$61K
1K claims
$41.62
$88.91
Habilitation, prevocational, waiver; per 15 min
$61K
1K claims · 0.0%
$12K
225 claims · 0.0%
$0
201 claims
$0.00
$137.85
Other specified case management service, per 15 minutes
$0
201 claims · 0.0%
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