Medicaid Provider Spending

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

THE METHODIST HOME FOR CHILDREN, IN.C

NPI: 1346314796 · RALEIGH, NC 27612 · Addiction (Substance Use Disorder) Counselor · NPI assigned 11/19/2006

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

100% of spending on code S5145 with only 1 total codes billed. Highly concentrated billing profile.

$3.57M
Total Medicaid Paid
23,531
Total Claims
1,315
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialFRANKFORT-WINNINGHAM, SUSAN (DIRECTOR OF QUALITY IMPROVEMENT)
NPI Enumeration Date11/19/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,067 $809K
2019 3,730 $545K
2020 5,588 $862K
2021 4,570 $768K
2022 3,186 $462K
2024 390 $128K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5145 Foster care, therapeutic, child; per diem 23,531 1,315 $3.57M