Medicaid Provider Spending

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

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
4,113
Total Claims
497
Beneficiaries
2
Codes Billed
2018-05
First Month
2024-09
Last Month

Provider Details

Authorized OfficialPLEASANT, VICKI (DIRECTOR FO PROGRAMS)
NPI Enumeration Date11/29/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal 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