Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NM › ALBUQUERQUE › ABOVE & BEYOND, INC.

ABOVE & BEYOND, INC.

NPI: 1386787356 · ALBUQUERQUE, NM 87110 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI assigned 02/15/2007

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

95% of spending on code T2016 with only 3 total codes billed. Highly concentrated billing profile.

$19.19M
Total Medicaid Paid
50,802
Total Claims
1,935
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSWEENEY, DON (EXECUTIVE DIRECTOR)
NPI Enumeration Date02/15/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,021 $1.85M
2019 6,680 $2.27M
2020 7,080 $2.72M
2021 6,678 $2.99M
2022 9,257 $3.61M
2023 9,613 $3.66M
2024 5,473 $2.08M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2016 Habilitation, residential, waiver; per diem 45,303 1,523 $18.31M
H2021 Community-based wrap-around services, per 15 minutes 3,266 290 $617K
T2021 Day habilitation, waiver; per 15 minutes 2,233 122 $262K