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
1,935
Beneficiary Records
Provider Details
| Authorized Official | SWEENEY, DON (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 02/15/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Bene. Records | Total 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 |