Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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CHAUTAUQUA COUNTY DMH HEALTH HOMES

NPI: 1477807097 · JAMESTOWN, NY 14701 · Case Management Agency · NPI assigned 11/05/2012

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

100% of spending on code G9005 with only 2 total codes billed. Highly concentrated billing profile.

$25.83M
Total Medicaid Paid
81,857
Total Claims
81,855
Beneficiaries
2
Codes Billed
2019-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHERNANDEZ, CARMELO (DIRECTOR)
NPI Enumeration Date11/05/2012

Related Entities

Other providers sharing the same authorized official: HERNANDEZ, CARMELO

ProviderCityStateTotal Paid
COUNTY OF CHAUTAUQUA - A MUN CORP JAMESTOWN NY $15.90M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 5,875 $1.63M
2020 16,950 $5.06M
2021 16,005 $5.08M
2022 16,000 $5.27M
2023 15,741 $5.08M
2024 11,286 $3.71M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G9005 Coordinated care fee, risk adjusted maintenance 80,572 80,570 $25.73M
G9001 Coordinated care fee, initial rate 1,285 1,285 $96K