Cognitive Development Center

Cognitive Development Center was paid $7.03M by Medicaid between Jan 2018 and Dec 2024, across 1 billing code. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 100% of everything it billed.

33Billing provider infoCOGNITIVE DEVELOPMENT CENTER
MONROE, LA 71201

33aNPI1508984469assigned 03/27/2007

33bProvider typeDevelopmentally Disabled Services Day Training Agency

28Total paid$7.03M

24GClaims112,746

24DCodes billed1

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Developmentally Disabled Services Day Training Agency providers in Louisiana

Rank by total paid#32 of 196

Median peer was paid$1.12M

This provider vs. median6.3×

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 T1019 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	24,852	$1.10M
2019	24,445	$1.28M
2020	17,958	$1.01M
2021	12,465	$811K
2022	11,855	$1.02M
2023	11,830	$1.00M
2024incomplete	9,341	$808K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1019	Help at home with bathing, dressing and eating, billed per 15 minutesPersonal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant)	100%	112,746	4,731	$7.03M

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 officialFISHER, ADRIAN (DIRECTOR)

Same official

Other billing entities under FISHER, ADRIAN

Full network →

Provider	Location	Paid
Cognitive Development Center Personal Care Services	Monroe, LA	$27.90M
Cognitive Development Center	Monroe, LA	$2.14M
Cognitive Development CTR Personal Care Servies	Monroe, LA	$260K
Cognitive Development Center	Monroe, LA	$5K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.