Medicaid Provider Spending

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

CORNERSTONE ADULT SERVICES, INC.

NPI: 1548317092 · WARWICK, RI 02889 · Developmentally Disabled Services Day Training Agency · NPI assigned 01/05/2007

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code S5102 with only 2 total codes billed. Highly concentrated billing profile.

$3.78M
Total Medicaid Paid
20,770
Total Claims
3,539
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMERKLE, ROBERTA (PRESIDENT CEO)
NPI Enumeration Date01/05/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,832 $761K
2019 2,831 $651K
2020 999 $230K
2021 1,538 $438K
2022 2,584 $563K
2023 4,714 $706K
2024 3,272 $434K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5102 Day care services, adult; per diem 20,679 3,475 $3.78M
T1016 Case management, each 15 minutes 91 64 $1K