Medicaid Provider Spending

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

NPI: 1437600228 · GRANGER, IN 46530 · Social Worker · NPI assigned 10/17/2016

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

100% of spending on code H0004 with only 1 total codes billed. Highly concentrated billing profile.

$1.57M
Total Medicaid Paid
3,990
Total Claims
3,447
Beneficiaries
1
Codes Billed
2018-01
First Month
2021-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 617 $262K
2019 1,120 $481K
2020 1,271 $466K
2021 982 $365K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0004 Behavioral health counseling and therapy, per 15 minutes 3,990 3,447 $1.57M