Medicaid Provider Spending

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

NPI: 1326184359 · DURHAM, NC 27703 · Community/Behavioral Health Agency · NPI assigned 01/29/2007

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

99% of spending on code H2017 with only 2 total codes billed. Highly concentrated billing profile.

$3.47M
Total Medicaid Paid
52,486
Total Claims
3,650
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialDETER, SUSIE (EXECUTIVE DIRECTOR)
NPI Enumeration Date01/29/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,661 $547K
2019 8,716 $651K
2020 7,227 $242K
2021 6,840 $375K
2022 4,239 $463K
2023 10,523 $700K
2024 7,280 $490K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2017 Psychosocial rehabilitation services, per 15 minutes 52,359 3,574 $3.45M
T1017 Targeted case management, each 15 minutes 127 76 $19K