PDC SOUTH
NPI: 1538557137
· GREAT BARRINGTON, MA 01230
· Early Intervention Provider Agency
· NPI assigned 01/05/2015
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
92% of spending on code H2015 with only 3 total codes billed. Highly concentrated billing profile.
$1.09M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,258 |
$162K |
| 2019 |
1,276 |
$158K |
| 2020 |
996 |
$103K |
| 2021 |
907 |
$110K |
| 2022 |
1,011 |
$120K |
| 2023 |
1,693 |
$210K |
| 2024 |
1,469 |
$228K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comprehensive community support services, per 15 minutes |
8,253 |
2,370 |
$1.01M |
| T1024 |
Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter |
279 |
131 |
$71K |
| T1015 |
Clinic visit/encounter, all-inclusive |
78 |
37 |
$11K |