Duncan Heights, INC.

Duncan Heights, INC. was paid $7.34M by Medicaid between Jan 2018 and Nov 2024, across 1 billing code. Its largest line is H2016, community support for mental illness or disability, billed per day — 100% of everything it billed.

33Billing provider infoDUNCAN HEIGHTS, INC.
GARNER, IA 50438

33aNPI1508938960assigned 11/14/2006

33bProvider typeMental Illness Community Based Residential Treatment Facility

28Total paid$7.34M

24GClaims8,482

24DCodes billed1

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Mental Illness Community Based Residential Treatment Facility providers in Iowa

Rank by total paid#5 of 11

Median peer was paid$6.11M

This provider vs. median1.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code H2016 with only 1 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	2,135	$811K
2019	1,660	$982K
2020	1,625	$963K
2021	1,228	$1.04M
2022	530	$1.10M
2023	621	$1.19M
2024incomplete	683	$1.25M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H2016	Community support for mental illness or disability, billed per dayComprehensive community support services, per diem	100%	8,482	2,563	$7.34M

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.

From NPPES

Who's on the registration

Authorized officialDUREGGER, KAREN (ADMINISTRATOR)