SEQUEL TSI OF IDAHO, LLC
NPI: 1073843868
· MOUNTAIN HOME, ID 83647
· Emotionally Disturbed Childrens' Residential Treatment Facility
· NPI assigned 12/30/2009
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
91% of spending on code S5145 with only 2 total codes billed. Highly concentrated billing profile.
$3.68M
Total Medicaid Paid
Provider Details
| Authorized Official | STUPAK, JOHN (PRESIDENT) |
| NPI Enumeration Date | 12/30/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
54 |
$196K |
| 2019 |
473 |
$825K |
| 2020 |
842 |
$1.79M |
| 2021 |
438 |
$871K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5145 |
Foster care, therapeutic, child; per diem |
1,687 |
602 |
$3.37M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
120 |
42 |
$318K |