Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Residential

Community Living Concepts, INC

Community Living Concepts, INC was paid $15.87M by Medicaid between Apr 2020 and Dec 2024, across 21 billing codes. Its largest line is H2016, community support for mental illness or disability, billed per day — 69% of everything it billed.

33Billing provider infoCOMMUNITY LIVING CONCEPTS, INC
KEENE, TX 76059
33aNPI1316002439assigned 12/27/2006
28Total paid$15.87M
24GClaims102,431
24DCodes billed21
24AFirst – last monthApr 2020 – Dec 2024
Compared with peers

Next to other Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Texas

Rank by total paid#24 of 115
Median peer was paid$5.61M
This provider vs. median2.8×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2020977$16K
202132,487$2.13M
202226,834$4.55M
202320,425$4.54M
2024incomplete21,708$4.65M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2016 Community support for mental illness or disability, billed per dayComprehensive community support services, per diem 69% 8,959 3,092 $10.94M
M0150 7.6% 7,441 303 $1.20M
H2014 Skills training and development, per 15 minutes 4.9% 17,639 1,357 $784K
M0122 4.1% 8,994 359 $653K
M0123 3.9% 8,145 322 $620K
T2020 Day habilitation, waiver; per diem 2.5% 9,465 722 $396K
M0116 1.8% 8,470 563 $288K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 1.7% 595 575 $275K
T1003 Lpn/lvn services, up to 15 minutes 1.3% 14,935 2,351 $213K
M0298 <1% 7,240 1,657 $117K
M0115 <1% 3,722 275 $110K
M0113 <1% 229 214 $96K
9 more codes
T1002 Rn services, up to 15 minutes <1% 996 $52K
M0299 <1% 420 $29K
M0315 <1% 702 $26K
A9153 Multiple vitamins, with or without minerals and trace elements, oral, per dose, not otherwise specified <1% 1,083 $23K
M0101 <1% 825 $17K
H2019 Therapeutic behavioral services, billed per 15 minutes <1% 242 $15K
M0133 <1% 225 $11K
S5199 Personal care item, nos, each <1% 177 $5K
M0248 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency <1% 1,927 $5K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialHANNAH, KYLE (CEO)