JACY 2, LLC
NPI: 1124212873
· LITCHFIELD, MN 55355
· Children's Substance Abuse Rehabilitation Facility
· NPI assigned 09/05/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code H2036 with only 1 total codes billed. Highly concentrated billing profile.
$3.17M
Total Medicaid Paid
Provider Details
| Authorized Official | WILSON, CARMEN (OWNER) |
| NPI Enumeration Date | 09/05/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
322 |
$452K |
| 2019 |
204 |
$543K |
| 2020 |
332 |
$698K |
| 2021 |
357 |
$654K |
| 2022 |
270 |
$529K |
| 2023 |
114 |
$177K |
| 2024 |
84 |
$112K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2036 |
Alcohol and/or other drug treatment program, per diem |
1,683 |
766 |
$3.17M |