Medicaid Provider Spending

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

COMMUNITY SOLUTIONS INCORPORATED

NPI: 1275182966 · BILLINGS, MT 59101 · Public Health or Welfare Agency · NPI assigned 09/05/2019

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

92% of spending on code G0481 with only 2 total codes billed. Highly concentrated billing profile.

$14.16M
Total Medicaid Paid
128,293
Total Claims
15,466
Beneficiaries
2
Codes Billed
2019-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPOHLE, GREG (OWNER)
NPI Enumeration Date09/05/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 2,963 $243K
2020 21,854 $2.53M
2021 26,727 $3.15M
2022 27,243 $2.93M
2023 29,241 $3.08M
2024 20,265 $2.22M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed 86,370 9,856 $12.97M
82075 41,923 5,610 $1.19M