Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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THE POINT ARC OF NORTHERN KENTUCKY

NPI: 1134434004 · COVINGTON, KY 41011 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 08/16/2010

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

94% of spending on code T2016 with only 3 total codes billed. Highly concentrated billing profile.

$21.66M
Total Medicaid Paid
104,688
Total Claims
7,558
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBRINKMAN, GALE (RESIDENTIAL PROGRAM EXECUTIVE DIREC)
NPI Enumeration Date08/16/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,121 $1.63M
2019 12,675 $2.00M
2020 14,295 $2.92M
2021 16,278 $3.01M
2022 16,521 $3.84M
2023 17,125 $4.10M
2024 16,673 $4.15M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2016 Habilitation, residential, waiver; per diem 100,855 3,873 $20.42M
T2022 Case management, per month 3,819 3,673 $1.24M
E1399 Durable medical equipment, miscellaneous 14 12 $2K