COMMUNITY OPTIONS, INC.
NPI: 1194028969
· PRINCETON, NJ 08540
· Developmentally Disabled Services Day Training Agency
· NPI assigned 12/16/2010
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code H2016 with only 3 total codes billed. Highly concentrated billing profile.
$337.94M
Total Medicaid Paid
Provider Details
| Authorized Official | SWEENEY, DAVID (CHIEF FINANCIAL OFFICER) |
| NPI Enumeration Date | 12/16/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
55,487 |
$19.86M |
| 2019 |
114,926 |
$38.84M |
| 2020 |
124,287 |
$42.52M |
| 2021 |
133,479 |
$49.17M |
| 2022 |
135,137 |
$54.32M |
| 2023 |
142,170 |
$64.35M |
| 2024 |
141,076 |
$68.88M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
815,909 |
27,892 |
$335.64M |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
23,765 |
5,028 |
$2.20M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
6,888 |
592 |
$107K |