Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NEXT STEPS COMMUNITY SERVICES LLC

NPI: 1003403221 · BETHLEHEM, NH 03574 · Mental Illness Community Based Residential Treatment Facility · NPI assigned 12/22/2020

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

96% of spending on code T1020 with only 3 total codes billed. Highly concentrated billing profile.

$15.65M
Total Medicaid Paid
7,223
Total Claims
1,175
Beneficiaries
3
Codes Billed
2023-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWOLTER, JAY (MANAGER)
NPI Enumeration Date12/22/2020

Related Entities

Other providers sharing the same authorized official: WOLTER, JAY

ProviderCityStateTotal Paid
MOUNT PROSPECT ACADEMY, INC. PLYMOUTH NH $76.55M
BECKET ACADEMY INC. BELGRADE ME $41.96M
BECKET ACADEMY, INC. HANOVER NH $31.29M
BECKET ACADEMY, INC. BELGRADE ME $12.81M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 2,773 $5.18M
2024 4,450 $10.47M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1020 Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 1,508 532 $15.02M
H2019 Therapeutic behavioral services, per 15 minutes 2,777 322 $339K
H2014 Skills training and development, per 15 minutes 2,938 321 $290K