Medicaid Provider Spending

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

GROWING MINDS LEARNING CENTER, LLC

NPI: 1275813222 · BOWLING GREEN, KY 42103 · Physical Therapist · NPI assigned 08/23/2011

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

97% of spending on code H0004 with only 3 total codes billed. Highly concentrated billing profile.

$8.91M
Total Medicaid Paid
32,872
Total Claims
5,661
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-04
Last Month

Provider Details

Authorized OfficialKIRK, JESSICA (REVENUE CYCLE MANAGER)
NPI Enumeration Date08/23/2011

Related Entities

Other providers sharing the same authorized official: KIRK, JESSICA

ProviderCityStateTotal Paid
COMMUNITY LIVING IN KENTUCKY, LLC MURRAY KY $21.24M
EARLY AUTISM PROJECT, INC. SUMTER SC $2.40M
EDUCATION ALTERNATIVES FOR ABA, LLC KING OF PRUSSIA PA $857K
EARLY AUTISM PROJECT, INC. TAMPA FL $54K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,499 $2.00M
2019 6,325 $1.67M
2020 4,568 $1.25M
2021 3,978 $1.22M
2022 3,880 $1.26M
2023 3,869 $1.28M
2024 753 $227K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0004 Behavioral health counseling and therapy, per 15 minutes 29,922 5,329 $8.61M
97535 Self-care/home management training, each 15 minutes 2,667 307 $241K
97153 Adaptive behavior treatment by protocol, administered by technician, each 15 minutes 283 25 $56K