Medicaid Provider Spending

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

BROKEN PIECES SERVICES LLC

NPI: 1265959100 · GASTONIA, NC 28054 · Addiction (Substance Use Disorder) Counselor · NPI assigned 08/22/2017

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

97% of spending on code H0038 with only 3 total codes billed. Highly concentrated billing profile.

$4.03M
Total Medicaid Paid
28,290
Total Claims
3,541
Beneficiaries
3
Codes Billed
2019-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUSSELL, MARQUITA (OPERATIONS)
NPI Enumeration Date08/22/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,408 $242K
2020 2,849 $343K
2021 5,739 $679K
2022 6,968 $994K
2023 6,604 $1.01M
2024 4,722 $770K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0038 Self-help/peer services, per 15 minutes 27,621 3,467 $3.92M
T1016 Case management, each 15 minutes 653 62 $111K
H0038CR 16 12 $1K