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NPI 1497981468
NPI deactivated
1497981468
1497981468 was paid $1.12M by Medicaid between Jan 2018 and Dec 2019, across 2 billing codes. Its largest line is H0018, Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem — 95% of everything it billed.
33Billing provider info1497981468
33aNPI1497981468
33bProvider type—
28Total paid$1.12M
24GClaims4,166
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2019
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration95% of spending on code H0018 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,276 | $586K | |
| 2019 | 1,890 | $538K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 95% | 2,343 | 702 | $1.07M |
| S9976 | Lodging, per diem, not otherwise classified | 5.2% | 1,823 | 539 | $58K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.