Medicaid Provider Spending

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

NEXUS COMMUNITY SERVICES

NPI: 1164136776 · CHESTER, VA 23831 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 01/09/2023

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

100% of spending on code T2021 with only 1 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official FITZGERALD, DAVID controls 13+ related entities in our dataset. Read more

$1.42M
Total Medicaid Paid
3,755
Total Claims
563
Beneficiaries
1
Codes Billed
2023-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFITZGERALD, DAVID (OWNER)
NPI Enumeration Date01/09/2023

Related Entities

Other providers sharing the same authorized official: FITZGERALD, DAVID

ProviderCityStateTotal Paid
PROLIANCE SURGEONS, INC., P.S. MOUNT VERNON WA $246K
BERLIN FIRE COMPANY EMERGENCY MEDICAL SERVICES INC BERLIN MD $135K
PROLIANCE SURGEONS, INC., P.S. MOUNT VERNON WA $54K
PROLIANCE SURGEONS, INC., P.S. TACOMA WA $36K
BERLIN FIRE COMPANY INC BERLIN MD $27K
DAVID LAUREN FITZGERALD OD PA GREENVILLE NC $10K
DAVID LAUREN FITZGERALD OD PA PLYMOUTH NC $7K
DAVID LAUREN FITZGERALD OD PA GREENVILLE NC $7K
DAVID LAUREN FITZGERALD OD PA GREENVILLE NC $6K
DAVID LAUREN FITZGERALD OD PA WILLIAMSTON NC $3K
DAVID LAUREN FITZGERALD OD PA WASHINGTON NC $3K
DAVID LAUREN FITZGERALD OD PA MOREHEAD CITY NC $2K
DAVID LAUREN FITZGERALD OD PA FARMVILLE NC $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 782 $455K
2024 2,973 $962K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2021 Day habilitation, waiver; per 15 minutes 3,755 563 $1.42M