CARESOURCE MANAGEMENT GROUP
NPI: 1477098986
· DAYTON, OH 45402
· Exclusive Provider Organization
· NPI assigned 12/20/2016
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1016 with only 1 total codes billed. Highly concentrated billing profile.
$16.45M
Total Medicaid Paid
Provider Details
| Authorized Official | MORRIS, PAMELA (CEO) |
| NPI Enumeration Date | 12/20/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
49,493 |
$1.65M |
| 2019 |
55,725 |
$1.95M |
| 2020 |
97,219 |
$3.62M |
| 2021 |
82,996 |
$3.00M |
| 2022 |
66,796 |
$2.38M |
| 2023 |
66,677 |
$2.40M |
| 2024 |
38,880 |
$1.43M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1016 |
Case management, each 15 minutes |
457,786 |
211,442 |
$16.45M |