CARE CONCEPTS LLC
NPI: 1285081117
· WASHINGTON, DC 20018
· Case Management Agency
· NPI assigned 05/20/2016
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1023 with only 1 total codes billed. Highly concentrated billing profile.
$2.75M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
421 |
$94K |
| 2019 |
1,175 |
$273K |
| 2020 |
1,803 |
$429K |
| 2021 |
1,927 |
$499K |
| 2022 |
1,811 |
$410K |
| 2023 |
2,055 |
$458K |
| 2024 |
2,217 |
$588K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
11,409 |
9,796 |
$2.75M |