Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PRADER WILLI HOMES OF OCONOMOWOC LLC

NPI: 1396891875 · OCONOMOWOC, WI 53066 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 01/26/2007

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

99% of spending on code H2016 with only 2 total codes billed. Highly concentrated billing profile.

$6.25M
Total Medicaid Paid
5,011
Total Claims
787
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSCHMIEDER, MELISSA (CONTROLLER)
NPI Enumeration Date01/26/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,446 $1.50M
2019 1,257 $1.55M
2020 1,021 $1.62M
2021 650 $954K
2022 248 $569K
2024 389 $56K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2016 Comprehensive community support services, per diem 4,622 731 $6.19M
T2021 Day habilitation, waiver; per 15 minutes 389 56 $56K