Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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1396946505

NPI: 1396946505

Deactivated NPI · This NPI was deactivated on 07/22/2025.
Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code H0017 with only 1 total codes billed. Highly concentrated billing profile.

$27.43M
Total Medicaid Paid
6,205
Total Claims
1,065
Beneficiaries
1
Codes Billed
2018-01
First Month
2020-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,337 $9.68M
2019 2,126 $9.24M
2020 1,742 $8.51M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0017 Behavioral health; residential (hospital residential treatment program), without room and board, per diem 6,205 1,065 $27.43M