Medicaid Provider Spending

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

COMMUNITY ALTERNATIVES VIRGINIA, INC.

NPI: 1194020370 · FOREST, VA 24551 · Case Management Agency · NPI assigned 01/19/2011

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

96% of spending on code T2033 with only 3 total codes billed. Highly concentrated billing profile.

$172.73M
Total Medicaid Paid
22,926
Total Claims
21,601
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPANK, MARY (PARLAEGAL)
NPI Enumeration Date01/19/2011

Related Entities

Other providers sharing the same authorized official: PANK, MARY

ProviderCityStateTotal Paid
RESCARE ARIZONA, INC. PHOENIX AZ $99.34M
COMMUNITY ALTERNATIVES MISSOURI, INC. SAINT LOUIS MO $48.79M
NORMAL LIFE OF LAFAYETTE, INC LAKE CHARLES LA $2.83M
COMMUNITY ALTERNATIVES MISSOURI, INC. HANNIBAL MO $707K
SOUTHERN HOME CARE SERVICES, INC. DAYTONA BEACH FL $483K
NORMAL LIFE OF LAKE CHARLES, INC. LAFAYETTE LA $175K
PHARMACY ALTERNATIVES LLC ELMHURST IL $1K
NORMAL LIFE OF LAFAYETTE, INC LAKE CHARLES LA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,908 $17.61M
2019 3,062 $18.99M
2020 3,559 $20.11M
2021 3,315 $23.99M
2022 3,335 $28.17M
2023 3,574 $32.78M
2024 3,173 $31.07M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2033 Residential care, not otherwise specified (nos), waiver; per diem 19,985 19,229 $166.49M
H2014 Skills training and development, per 15 minutes 1,000 889 $3.84M
97150 Therapeutic procedure(s), group (2 or more individuals) 1,941 1,483 $2.40M