Medicaid Provider Spending

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

COMMUNITY RESIDENCES, INC.

NPI: 1215248570 · GLEN BURNIE, MD 21061 · Case Management Agency · NPI assigned 07/01/2010

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

99% of spending on code T1016 with only 2 total codes billed. Highly concentrated billing profile.

$1.08M
Total Medicaid Paid
7,753
Total Claims
1,987
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHURLEY, TERENCE (V.P. ADMINISTRATION, CFO)
NPI Enumeration Date07/01/2010

Related Entities

Other providers sharing the same authorized official: HURLEY, TERENCE

ProviderCityStateTotal Paid
COMMUNITY RESIDENCES, INC. CHANTILLY VA $6.07M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 365 $43K
2019 495 $60K
2020 1,272 $160K
2021 1,522 $204K
2022 1,539 $223K
2023 1,287 $196K
2024 1,273 $198K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1016 Case management, each 15 minutes 7,701 1,935 $1.08M
H0031 Mental health assessment, by non-physician 52 52 $7K