Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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GINTHER&MAGEE.,INC

NPI: 1437586229 · STANBERRY, MO 64489 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 10/11/2013

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.

$4.61M
Total Medicaid Paid
14,789
Total Claims
984
Beneficiaries
3
Codes Billed
2018-11
First Month
2022-02
Last Month

Provider Details

Authorized OfficialGINTHER, NELDA (DIRECTOR)
NPI Enumeration Date10/11/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 748 $220K
2019 4,565 $1.27M
2020 4,395 $1.32M
2021 4,394 $1.53M
2022 687 $268K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2016 Habilitation, residential, waiver; per diem 14,211 480 $4.55M
T2001 Non-emergency transportation; patient attendant/escort 156 156 $41K
T1002 Rn services, up to 15 minutes 422 348 $16K