Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SIMMONS EARLY INTERVENTION THERAPY, LLC

NPI: 1356566756 · GOLDSBORO, NC 27534 · Developmental Therapist · NPI assigned 04/13/2007

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

99% of spending on code H0036 with only 2 total codes billed. Highly concentrated billing profile.

$12.90M
Total Medicaid Paid
96,087
Total Claims
9,663
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIMMONS, SHONTA (EARLY INTERVENTION THERAPIST)
NPI Enumeration Date04/13/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,259 $607K
2019 7,402 $474K
2020 6,169 $388K
2021 7,320 $591K
2022 6,318 $757K
2023 21,043 $3.50M
2024 38,576 $6.58M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0036 Community psychiatric supportive treatment, face-to-face, per 15 minutes 95,335 9,553 $12.80M
H0038 Self-help/peer services, per 15 minutes 752 110 $97K