Medicaid Provider Spending

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

THE GEMINI PROJECT, LLC

NPI: 1114370566 · NEWINGTON, CT 06111 · Community/Behavioral Health Agency · NPI assigned 07/21/2016

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

99% of spending on code 90837 with only 2 total codes billed. Highly concentrated billing profile.

$1.17M
Total Medicaid Paid
13,058
Total Claims
1,768
Beneficiaries
2
Codes Billed
2018-01
First Month
2019-07
Last Month

Provider Details

Authorized OfficialAPELLANIZ, RAMON (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date07/21/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,027 $715K
2019 5,031 $453K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90837 Psychotherapy, 53 minutes with patient 12,937 1,691 $1.16M
90791 Psychiatric diagnostic evaluation 121 77 $7K