Medicaid Provider Spending

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

ADVANTAGE PSYCHIATRIC SERVICES LLC

NPI: 1306364971 · ELKTON, MD 21921 · Case Management Agency · NPI assigned 09/05/2017

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

100% of spending on code T1016 with only 2 total codes billed. Highly concentrated billing profile.

$1.22M
Total Medicaid Paid
9,017
Total Claims
3,339
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPIXTON, CYNTHIA (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date09/05/2017

Related Entities

Other providers sharing the same authorized official: PIXTON, CYNTHIA

ProviderCityStateTotal Paid
ADVANTAGE PSYCHIATRIC SERVICES LLC ELKTON MD $7.62M
ADVANTAGE PSYCHIATRIC SERVICES LLC NOTTINGHAM MD $6.00M
ADVANTAGE PSYCHIATRIC SERVICES LLC NOTTINGHAM MD $920K
ADVANTAGE PSYCHIATRIC SERVICES LLC ELKTON MD $901K
ADVANTAGE PSYCHIATRIC SERVICES LLC HAVRE DE GRACE MD $637K
ADVANTAGE PSYCHIATRIC SERVICES LLC PRINCE FREDERICK MD $190K
ADVANTAGE PSYCHIATRIC SERVICES LLC ELKTON MD $43K
ADVANTAGE PSYCHIATRIC SERVICES LLC ANNAPOLIS MD $38K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 780 $92K
2019 1,543 $183K
2020 1,603 $201K
2021 1,483 $197K
2022 1,730 $255K
2023 1,205 $183K
2024 673 $112K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1016 Case management, each 15 minutes 9,004 3,326 $1.22M
H0031 Mental health assessment, by non-physician 13 13 $2K