Medicaid Provider Spending

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

HEARTLAND RESIDENTIAL CARE, INC.

NPI: 1427172949 · SAINT JOSEPH, MO 64506 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI assigned 03/19/2007

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

99% of spending on code T2016 with only 3 total codes billed. Highly concentrated billing profile.

$49.09M
Total Medicaid Paid
118,812
Total Claims
10,219
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGILBERT, LISA (OFFICE MANAGER)
NPI Enumeration Date03/19/2007

Related Entities

Other providers sharing the same authorized official: GILBERT, LISA

ProviderCityStateTotal Paid
CENTRAL COMMUNITY SERVICES LLC LOUISBURG NC $8.64M
CENTRAL COMMUNITY SERVICES, LLC OXFORD NC $2.24M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,121 $3.93M
2019 17,233 $5.46M
2020 18,290 $5.98M
2021 17,551 $6.53M
2022 17,786 $8.39M
2023 17,219 $9.81M
2024 16,612 $9.00M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2016 Habilitation, residential, waiver; per diem 108,357 3,680 $48.54M
T2001 Non-emergency transportation; patient attendant/escort 2,996 2,973 $318K
T1002 Rn services, up to 15 minutes 7,459 3,566 $242K