Medicaid Provider Spending

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

GRODEN CENTER, INC.

NPI: 1457476954 · PROVIDENCE, RI 02906 · Developmentally Disabled Services Day Training Agency · NPI assigned 03/21/2007

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

92% of spending on code H0019 with only 2 total codes billed. Highly concentrated billing profile.

$6.64M
Total Medicaid Paid
1,454
Total Claims
1,405
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialTOE, GRACE (CFO)
NPI Enumeration Date03/21/2007

Related Entities

Other providers sharing the same authorized official: TOE, GRACE

ProviderCityStateTotal Paid
THE COVE CENTER, INC. PROVIDENCE RI $58.69M
GRODEN CENTER, INC. PROVIDENCE RI $4.43M
GRODEN CENTER, INC. PROVIDENCE RI $3.30M
GRODEN CENTER, INC. PROVIDENCE RI $275K
GRODEN CENTER, INC. PROVIDENCE RI $109K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 440 $885K
2020 309 $1.06M
2021 175 $1.02M
2022 191 $1.24M
2023 199 $1.28M
2024 140 $1.16M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0019 Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem 950 927 $6.12M
S5145 Foster care, therapeutic, child; per diem 504 478 $521K