Medicaid Provider Spending

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

1154967487

NPI: 1154967487

Deactivated NPI · This NPI was deactivated on 08/19/2024.

Billing Flags · Automated signals — not evidence of fraud

Single-Code Concentration

96% of spending on code H0047 with only 2 total codes billed. Highly concentrated billing profile.

$1.38M

Total Medicaid Paid

3,752

Total Claims

256

Beneficiaries

Codes Billed

2020-07

First Month

2021-07

Last Month

Year	Claims	Total Paid
2020	1,418	$645K
2021	2,334	$737K

Code	Description	Claims	Beneficiaries	Total Paid
H0047	Alcohol and/or other drug abuse services, not otherwise specified	2,978	159	$1.33M
H0023	Behavioral health outreach service (planned approach to reach a targeted population)	774	97	$57K