DAYMARK INC.
NPI: 1033411905
· CHARLESTON, WV 25311
· Mental Illness Community Based Residential Treatment Facility
· NPI assigned 11/29/2010
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code H0019 with only 2 total codes billed. Highly concentrated billing profile.
$1.46M
Total Medicaid Paid
Provider Details
| Authorized Official | PLEASANT, VICKI (DIRECTOR FO PROGRAMS) |
| NPI Enumeration Date | 11/29/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
603 |
$40K |
| 2019 |
2,513 |
$222K |
| 2020 |
520 |
$74K |
| 2021 |
157 |
$369K |
| 2022 |
22 |
$54K |
| 2023 |
130 |
$210K |
| 2024 |
168 |
$489K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| H0019 |
Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
2,508 |
376 |
$1.46M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,605 |
121 |
$0.00 |