VAIL HOUSE-MIDLAND INC.
NPI: 1184137010
· MIDLAND, MI 48640
· Home Health Agency
· NPI assigned 11/14/2017
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code H2015 with only 2 total codes billed. Highly concentrated billing profile.
$6.19M
Total Medicaid Paid
1,504
Beneficiary Records
Provider Details
| Authorized Official | SUTTON, LORI (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 11/14/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
3,353 |
$259K |
| 2020 |
9,358 |
$1.06M |
| 2021 |
11,306 |
$1.32M |
| 2022 |
12,822 |
$1.18M |
| 2023 |
11,752 |
$1.17M |
| 2024 |
10,751 |
$1.21M |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| H2015 |
Comprehensive community support services, per 15 minutes |
49,402 |
964 |
$6.09M |
| S0215 |
Non-emergency transportation; mileage, per mile |
9,940 |
540 |
$108K |