Is COORDINATED COMMUNITY LIVING flagged for Medicaid fraud?

COORDINATED COMMUNITY LIVING (NPI: 1982705661) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does COORDINATED COMMUNITY LIVING bill Medicaid?

COORDINATED COMMUNITY LIVING received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Home Health provider. Located in SOUTHFIELD, MI.

What is NPI 1982705661?

NPI 1982705661 is the National Provider Identifier for COORDINATED COMMUNITY LIVING. They are a Home Health provider based in SOUTHFIELD, MI. This NPI is registered with the CMS NPI Registry.

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COORDINATED COMMUNITY LIVING

Home Health·SOUTHFIELD, MI·NPI: 1982705661Share

Compared to Home Health Peers

Total spending distribution among 322 providers in this specialty

P25MedianP75P90

This provider's total spending of $85.8M is at the 25th percentile among 322 Home Health providers.

Active Billing Period:2018-01→2023-06(66 months)

Billing appears to have stoppedLast active: 2023-06

Total Paid

$85.8M

$85,809,581

Total Claims

1.3M

Beneficiaries

110K

11.9 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2018

$25.9M

+0%

2019

$26.0M

-13%

2020

$22.5M

-49%

2021

$11.4M

-100%

2022

$23K

-66%

2023

$8K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (H2015 (Comprehensive community support services, per 15 min)) accounts for 49% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H2015Comprehensive community support services, per 15 minSee all providers →

$42.5M

697K claims

$60.90

$96.24

0.6×

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

$42.5M

697K claims · 49.5%

Your Cost: $60.90/claim|Median: $96.24

0.6× median

T2022Case management, per monthSee all providers →

$20.2M

32K claims

$621.61

$202.77

3.1×

Top 5%

T2022Top 5%

Case management, per month

$20.2M

32K claims · 23.5%

Your Cost: $621.61/claim|Median: $202.77

3.1× median

T1019Personal care services, per 15 minSee all providers →

$8.8M

128K claims

$68.30

$82.47

0.8×

Normal range

T1019Normal range

Personal care services, per 15 min

$8.8M

128K claims · 10.2%

Your Cost: $68.30/claim|Median: $82.47

0.8× median

H2016Comprehensive community support services, per 15 minSee all providers →

$6.1M

102K claims

$59.35

$321.53

0.2×

Normal range

H2016Normal range

Comprehensive community support services, per 15 min

$6.1M

102K claims · 7.1%

Your Cost: $59.35/claim|Median: $321.53

0.2× median

T1000Private duty/independent nursing service(s)See all providers →

$2.8M

7,703 claims

$364.80

$402.76

0.9×

Normal range

T1000Normal range

Private duty/independent nursing service(s)

$2.8M

7,703 claims · 3.3%

Your Cost: $364.80/claim|Median: $402.76

0.9× median

S5170Homemaker service, NOS, per diemSee all providers →

$2.2M

243K claims

$9.03

$19.89

0.5×

Normal range

S5170Normal range

Homemaker service, NOS, per diem

$2.2M

243K claims · 2.6%

Your Cost: $9.03/claim|Median: $19.89

0.5× median

T2003Non-emergency transport; encounter/tripSee all providers →

$703K

12K claims

$56.25

$21.70

2.6×

Top 25%

T2003Top 25%

Non-emergency transport; encounter/trip

$703K

12K claims · 0.8%

Your Cost: $56.25/claim|Median: $21.70

2.6× median

S0215Non-invasive prenatal screening, fetal chromosomal abnormalitiesSee all providers →

$666K

31K claims

$21.55

$21.33

1.0×

Normal range

S0215Normal range

Non-invasive prenatal screening, fetal chromosomal abnormalities

$666K

31K claims · 0.8%

Your Cost: $21.55/claim|Median: $21.33

1.0× median

S5100Day care services, adult, per half daySee all providers →

$587K

6,980 claims

$84.16

$67.58

1.2×

Normal range

S5100Normal range

Day care services, adult, per half day

$587K

6,980 claims · 0.7%

Your Cost: $84.16/claim|Median: $67.58

1.2× median

S5161Emergency response system, per monthSee all providers →

$410K

13K claims

$30.98

$29.97

1.0×

Normal range

S5161Normal range

Emergency response system, per month

$410K

13K claims · 0.5%

Your Cost: $30.98/claim|Median: $29.97

1.0× median

T1003LPN/LVN services, per 15 minutesSee all providers →

$351K

6,065 claims

$57.85

$24.24

2.4×

Normal range

T1003Normal range

LPN/LVN services, per 15 minutes

$351K

6,065 claims · 0.4%

Your Cost: $57.85/claim|Median: $24.24

2.4× median

T2025Waiver services, NOS; per 15 minSee all providers →

$134K

1,614 claims

$82.81

$124.39

0.7×

Normal range

T2025Normal range

Waiver services, NOS; per 15 min

$134K

1,614 claims · 0.2%

Your Cost: $82.81/claim|Median: $124.39

0.7× median

B4150Enteral formula, nutritionally complete with fiber, per 100 caloriesSee all providers →

$129K

27K claims

$4.81

$89.79

0.1×

Normal range

B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$129K

27K claims · 0.2%

Your Cost: $4.81/claim|Median: $89.79

0.1× median

S5121Attendant care services, in-home, per 15 minSee all providers →

$125K

2,679 claims

$46.51

$111.06

0.4×

Normal range

S5121Normal range

Attendant care services, in-home, per 15 min

$125K

2,679 claims · 0.1%

Your Cost: $46.51/claim|Median: $111.06

0.4× median

G0454 See all providers →

$85K

1,145 claims

$74.02

$0.78

94.9×

Top 1%

G0454Top 1%

$85K

1,145 claims · 0.1%

Your Cost: $74.02/claim|Median: $0.78

94.9× median

S9445 See all providers →

$70K

4,774 claims

$14.64

$12.72

1.2×

Normal range

S9445Normal range

$70K

4,774 claims · 0.1%

Your Cost: $14.64/claim|Median: $12.72

1.2× median

T2029Specialized transportation, waiver, per mile, extraSee all providers →

$53K

958 claims

$55.30

$141.34

0.4×

Normal range

T2029Normal range

Specialized transportation, waiver, per mile, extra

$53K

958 claims · 0.1%

Your Cost: $55.30/claim|Median: $141.34

0.4× median

T1002RN services, per 15 minutesSee all providers →

$53K

1,375 claims

$38.41

$37.42

1.0×

Normal range

T1002Normal range

RN services, per 15 minutes

$53K

1,375 claims · 0.1%

Your Cost: $38.41/claim|Median: $37.42

1.0× median

E0245 See all providers →

$568

13 claims

$43.67

$42.10

1.0×

Normal range

E0245Normal range

$568

13 claims · 0.0%

Your Cost: $43.67/claim|Median: $42.10

1.0× median

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