Medicaid Provider Spending

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

SOUTHERN MARYLAND COMMUNITY NETWORK INC

NPI: 1073800843 · WALDORF, MD 20601 · Mental Illness Community Based Residential Treatment Facility · NPI assigned 06/30/2011

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

92% of spending on code H0044 with only 3 total codes billed. Highly concentrated billing profile.

$1.27M
Total Medicaid Paid
1,665
Total Claims
1,657
Beneficiaries
3
Codes Billed
2019-12
First Month
2023-08
Last Month

Provider Details

Authorized OfficialCARLONI, KAREN (EXECUTIVE DIRECTOR)
NPI Enumeration Date06/30/2011

Related Entities

Other providers sharing the same authorized official: CARLONI, KAREN

ProviderCityStateTotal Paid
SOUTHERN MARYLAND COMMUNITY NETWORK, INC. LEONARDTOWN MD $2.09M
SOUTHERN MARYLAND COMMUNITY NETWORK INC LEONARDTOWN MD $2.01M
SOUTHERN MARYLAND COMMUNITY NETWORK INC WALDORF MD $815K
SOUTHERN MARYLAND COMMUNITY NETWORK, INC. PRINCE FREDERICK MD $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 54 $26K
2020 792 $631K
2021 351 $259K
2022 299 $209K
2023 169 $140K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0044 Supported housing, per month 1,592 1,585 $1.16M
H2016 Comprehensive community support services, per diem 43 43 $104K
H0002 Behavioral health screening to determine eligibility for admission to treatment program 30 29 $2K