Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SOUTH DAKOTA ACHIEVE

NPI: 1528515368 · SIOUX FALLS, SD 57105 · Case Management Agency · NPI assigned 09/09/2016

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.

$2.03M
Total Medicaid Paid
43,321
Total Claims
8,602
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMCFARLAND, ANNE (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date09/09/2016

Related Entities

Other providers sharing the same authorized official: MCFARLAND, ANNE

ProviderCityStateTotal Paid
SOUTH DAKOTA ACHIEVE SIOUX FALLS SD $166.94M
LIFESCAPE SIOUX FALLS SD $472K
SOUTH DAKOTA ACHIEVE SIOUX FALLS SD $362K
SOUTH DAKOTA ACHIEVE SIOUX FALLS SD $112K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,201 $206K
2019 8,611 $352K
2020 5,398 $221K
2021 7,177 $330K
2022 6,351 $295K
2023 6,703 $328K
2024 4,880 $303K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1016 Case management, each 15 minutes 43,321 8,602 $2.03M