Medicaid Provider Spending

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

CREATE, INC.

NPI: 1154711612 · NEW YORK, NY 10026 · Substance Abuse Rehabilitation Facility · NPI assigned 02/04/2015

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

100% of spending on code H2036 with only 2 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official LOWY, DANIEL controls 12+ related entities in our dataset. Read more

$2.90M
Total Medicaid Paid
24,018
Total Claims
1,227
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLOWY, DANIEL (CHIEF STRATEGY OFFICER)
NPI Enumeration Date02/04/2015

Related Entities

Other providers sharing the same authorized official: LOWY, DANIEL

ProviderCityStateTotal Paid
EMUSC, LLC GLENDALE NY $60.27M
ARGUS COMMUNITY, INC. NEW YORK NY $4.89M
ARGUS COMMUNITY, INC. NEW YORK NY $3.56M
ARGUS COMMUNITY, INC. BRONX NY $2.65M
ARGUS COMMUNITY, INC. BRONX NY $2.20M
ARGUS COMMUNITY, INC. NEW YORK NY $1.89M
CREATE, INC. NEW YORK NY $1.71M
ARGUS COMMUNITY, INC. BRONX NY $1.62M
ARGUS COMMUNITY, INC. BRONX NY $1.52M
EMUSC, LLC GLENDALE NY $1.42M
ARGUS COMMUNITY, INC. BRONX NY $1.34M
EMUSC, LLC GLENDALE NY $11K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,174 $51K
2019 6,996 $373K
2021 1,236 $174K
2022 4,888 $683K
2023 6,043 $988K
2024 3,681 $635K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2036 Alcohol and/or other drug treatment program, per diem 23,997 1,213 $2.90M
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes 21 14 $1K