Medicaid Provider Spending

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

HEAVEN COMMUNITY MENTAL HEALTH, LLC

NPI: 1275147936 · MIAMI, FL 33165 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 09/01/2020

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

99% of spending on code H2017 with only 3 total codes billed. Highly concentrated billing profile.

$1.35M
Total Medicaid Paid
11,525
Total Claims
940
Beneficiaries
3
Codes Billed
2020-11
First Month
2022-10
Last Month

Provider Details

Authorized OfficialRODRIGUEZ, RENE (PRESIDENT)
NPI Enumeration Date09/01/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,175 $132K
2021 4,731 $462K
2022 5,619 $755K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2017 Psychosocial rehabilitation services, per 15 minutes 11,350 833 $1.34M
H0032 Mental health service plan development by non-physician 58 53 $5K
H0031 Mental health assessment, by non-physician 117 54 $3K