INNOVATIVE COMPLIANCE SOLUTIONS
NPI: 1164658597
· GASTONIA, NC 28054
· Mental Illness Community Based Residential Treatment Facility
· NPI assigned 05/29/2009
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code H0019 with only 1 total codes billed. Highly concentrated billing profile.
$1.37M
Total Medicaid Paid
Provider Details
| Authorized Official | JONES, DESARETA (DIRECTOR/OWNER) |
| NPI Enumeration Date | 05/29/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
912 |
$270K |
| 2019 |
267 |
$80K |
| 2020 |
1,692 |
$602K |
| 2021 |
428 |
$420K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 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 |
3,299 |
184 |
$1.37M |