Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Avenues to Community INC

Avenues to Community INC was paid $11.39M by Medicaid between Jun 2019 and Nov 2024, across 5 billing codes. Its largest line is T1016, Case management, each 15 minutes — 96% of everything it billed.

33Billing provider infoAVENUES TO COMMUNITY INC
MADISON, WI 53719
33aNPI1154897163assigned 10/17/2018
28Total paid$11.39M
24GClaims209,103
24DCodes billed5
24AFirst – last monthJun 2019 – Nov 2024
Compared with peers

Next to other Case Manager/Care Coordinator providers in Wisconsin

Rank by total paid#1 of 12
Median peer was paid$59K
This provider vs. median192×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$200K$400K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20193,215$208K
202015,802$845K
202129,105$1.65M
202245,969$2.29M
202357,261$2.69M
2024incomplete57,751$3.71M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1016 Case management, each 15 minutes 96% 205,882 29,414 $10.95M
T2028 Specialized supply, not otherwise specified, waiver 1.5% 1,088 1,051 $166K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 1.3% 1,255 1,248 $154K
A9999 Miscellaneous dme supply or accessory, not otherwise specified 1.1% 828 826 $120K
E0700 Safety equipment, device or accessory, any type <1% 50 50 $3K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialKEISLING, KEVIN (EXECUTIVE DIRECTOR)