Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Residential

Innovative Compliance Solutions

Innovative Compliance Solutions was paid $1.37M by Medicaid between Jan 2018 and Aug 2021, across 1 billing code. Its largest line is H0019, Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem — 100% of everything it billed.

33Billing provider infoINNOVATIVE COMPLIANCE SOLUTIONS
GASTONIA, NC 28054
33aNPI1164658597assigned 05/29/2009
28Total paid$1.37M
24GClaims3,299
24DCodes billed1
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers

Next to other Mental Illness Community Based Residential Treatment Facility providers in North Carolina

Rank by total paid#8 of 23
Median peer was paid$709K
This provider vs. median1.9×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code H0019 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
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
2018912$270K
2019267$80K
20201,692$602K
2021428$420K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0019 Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem 100% 3,299 184 $1.37M

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 officialJONES, DESARETA (DIRECTOR/OWNER)