Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › COLUMBIA › COMMUNITY OPTIONS, INC.

COMMUNITY OPTIONS, INC.

NPI: 1326709379 · COLUMBIA, SC 29212 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 01/03/2022

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

97% of spending on code T2016 with only 3 total codes billed. Highly concentrated billing profile.

$40.29M
Total Medicaid Paid
153,968
Total Claims
9,080
Beneficiaries
3
Codes Billed
2022-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCEDENO, BELGICA (CONTROLLER)
NPI Enumeration Date01/03/2022

Related Entities

Other providers sharing the same authorized official: CEDENO, BELGICA

ProviderCityStateTotal Paid
COMMUNITY OPTIONS, INC. NASHVILLE TN $27.39M
COMMUNITY OPTIONS, INC. DES MOINES IA $1.92M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 40,847 $9.96M
2023 56,747 $14.39M
2024 56,374 $15.94M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2016 Habilitation, residential, waiver; per diem 143,474 4,854 $39.23M
H2025 Ongoing support to maintain employment, per 15 minutes 9,698 4,190 $923K
T2017 Habilitation, residential, waiver; 15 minutes 796 36 $139K