Is COMPASS HEALTH, INC flagged for Medicaid fraud?

COMPASS HEALTH, INC (NPI: 1992247928) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does COMPASS HEALTH, INC bill Medicaid?

COMPASS HEALTH, INC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Community/Behavioral Health provider. Located in FESTUS, MO.

What is NPI 1992247928?

NPI 1992247928 is the National Provider Identifier for COMPASS HEALTH, INC. They are a Community/Behavioral Health provider based in FESTUS, MO. This NPI is registered with the CMS NPI Registry.

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COMPASS HEALTH, INC

Community/Behavioral Health·FESTUS, MO·NPI: 1992247928Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $44.1M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Billing appears to have stoppedLast active: 2023-06

Total Paid

$44.1M

$44,129,629

Total Claims

466K

Beneficiaries

197K

2.4 claims/patient

Avg Cost/Claim

$95

Monthly Spending Trend

Yearly Spending

2018

$6.5M

+7%

2019

$7.0M

+10%

2020

$7.7M

+10%

2021

$8.4M

+4%

2022

$8.8M

-34%

2023

$5.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (T1040 (Medicaid certified CCBHC services)) accounts for 99% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1040Medicaid certified CCBHC servicesSee all providers →

$43.9M

198K claims

$221.43

$130.29

1.7×

Normal range

T1040Normal range

Medicaid certified CCBHC services

$43.9M

198K claims · 99.4%

Your Cost: $221.43/claim|Median: $130.29

1.7× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$149K

20K claims

$7.43

$53.41

0.1×

Normal range

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$149K

20K claims · 0.3%

Your Cost: $7.43/claim|Median: $53.41

0.1× median

90834Psychotherapy, 45 minutesSee all providers →

$47K

7,345 claims

$6.35

$63.65

0.1×

Normal range

90834Normal range

Psychotherapy, 45 minutes

$47K

7,345 claims · 0.1%

Your Cost: $6.35/claim|Median: $63.65

0.1× median

90837Psychotherapy, 60 minutesSee all providers →

$43K

4,863 claims

$8.87

$85.66

0.1×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$43K

4,863 claims · 0.1%

Your Cost: $8.87/claim|Median: $85.66

0.1× median

90832Psychotherapy, 30 minutesSee all providers →

$9K

1,297 claims

$6.95

$41.28

0.2×

Normal range

90832Normal range

Psychotherapy, 30 minutes

$9K

1,297 claims · 0.0%

Your Cost: $6.95/claim|Median: $41.28

0.2× median

90791Psychiatric diagnostic evaluationSee all providers →

$8K

3,103 claims

$2.56

$99.21

0.0×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$8K

3,103 claims · 0.0%

Your Cost: $2.56/claim|Median: $99.21

0.0× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$6K

3,194 claims

$1.93

$37.81

0.1×

Normal range

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$6K

3,194 claims · 0.0%

Your Cost: $1.93/claim|Median: $37.81

0.1× median

99204Office/outpatient visit, new patient, mod-high complexitySee all providers →

$3K

258 claims

$10.23

$84.03

0.1×

Normal range

99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$3K

258 claims · 0.0%

Your Cost: $10.23/claim|Median: $84.03

0.1× median

H0037Community psychiatric supportive treatment program, per diemSee all providers →

24K claims

$0.00

$225.50

—

Normal range

H0037Normal range

Community psychiatric supportive treatment program, per diem

24K claims · 0.0%

Your Cost: $0.00/claim|Median: $225.50

H0038Self-help/peer services, per 15 minutesSee all providers →

1,441 claims

$0.00

$55.04

—

Normal range

H0038Normal range

Self-help/peer services, per 15 minutes

1,441 claims · 0.0%

Your Cost: $0.00/claim|Median: $55.04

H2019Therapeutic behavioral services, per 15 minSee all providers →

1,778 claims

$0.00

$84.12

—

Normal range

H2019Normal range

Therapeutic behavioral services, per 15 min

1,778 claims · 0.0%

Your Cost: $0.00/claim|Median: $84.12

H2010Comprehensive medication services, per 15 minSee all providers →

1,938 claims

$0.00

$62.69

—

Normal range

H2010Normal range

Comprehensive medication services, per 15 min

1,938 claims · 0.0%

Your Cost: $0.00/claim|Median: $62.69

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

36K claims

$0.00

$74.63

—

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

36K claims · 0.0%

Your Cost: $0.00/claim|Median: $74.63

99442Telephone E/M by physician, 11-20 minutesSee all providers →

41 claims

$0.00

$22.44

—

Normal range

99442Normal range

Telephone E/M by physician, 11-20 minutes

41 claims · 0.0%

Your Cost: $0.00/claim|Median: $22.44

H0025Behavioral health prevention education, per sessionSee all providers →

24K claims

$0.00

$36.25

—

Normal range

H0025Normal range

Behavioral health prevention education, per session

24K claims · 0.0%

Your Cost: $0.00/claim|Median: $36.25

H0005Alcohol and/or drug services, group counselingSee all providers →

24K claims

$0.00

$47.35

—

Normal range

H0005Normal range

Alcohol and/or drug services, group counseling

24K claims · 0.0%

Your Cost: $0.00/claim|Median: $47.35

H0032Mental health service plan developmentSee all providers →

3,502 claims

$0.00

$80.64

—

Normal range

H0032Normal range

Mental health service plan development

3,502 claims · 0.0%

Your Cost: $0.00/claim|Median: $80.64

H0036Community psychiatric supportive treatment, per 15 minSee all providers →

79K claims

$0.00

$76.05

—

Normal range

H0036Normal range

Community psychiatric supportive treatment, per 15 min

79K claims · 0.0%

Your Cost: $0.00/claim|Median: $76.05

99215Office/outpatient visit, high complexitySee all providers →

15 claims

$0.00

$74.09

—

Normal range

99215Normal range

Office/outpatient visit, high complexity

15 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.09

H2015Comprehensive community support services, per 15 minSee all providers →

4,419 claims

$0.00

$96.24

—

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

4,419 claims · 0.0%

Your Cost: $0.00/claim|Median: $96.24

H2012Behavioral health day treatment, per hourSee all providers →

5,837 claims

$0.00

$137.86

—

Normal range

H2012Normal range

Behavioral health day treatment, per hour

5,837 claims · 0.0%

Your Cost: $0.00/claim|Median: $137.86

99203Office/outpatient visit, new patient, low-mod complexitySee all providers →

66 claims

$0.00

$57.85

—

Normal range

99203Normal range

Office/outpatient visit, new patient, low-mod complexity

66 claims · 0.0%

Your Cost: $0.00/claim|Median: $57.85

H2017Psychosocial rehabilitation services, per 15 minSee all providers →

14K claims

$0.00

$91.63

—

Normal range

H2017Normal range

Psychosocial rehabilitation services, per 15 min

14K claims · 0.0%

Your Cost: $0.00/claim|Median: $91.63

H0002Behavioral health screeningSee all providers →

7,402 claims

$0.00

$38.77

—

Normal range

H0002Normal range

Behavioral health screening

7,402 claims · 0.0%

Your Cost: $0.00/claim|Median: $38.77

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