BETHESDA LUTHERAN COMMUNITIES
NPI: 1033429683
· WATERTOWN, WI 53094
· Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
· NPI assigned 10/18/2010
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T2016 with only 3 total codes billed. Highly concentrated billing profile.
$14.23M
Total Medicaid Paid
Provider Details
| Authorized Official | SCHUTTE, RICHARD (DIRECTOR OF ACCOUNTS RECEIVABLE) |
| NPI Enumeration Date | 10/18/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,299 |
$1.76M |
| 2019 |
7,436 |
$1.90M |
| 2020 |
6,667 |
$1.83M |
| 2021 |
6,724 |
$2.02M |
| 2022 |
6,020 |
$1.96M |
| 2023 |
9,591 |
$3.07M |
| 2024 |
8,876 |
$1.69M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
46,321 |
1,499 |
$14.02M |
| T2001 |
Non-emergency transportation; patient attendant/escort |
6,127 |
778 |
$155K |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
165 |
152 |
$50K |