ODYSSEY HOUSE
NPI: 1558586214
· NEVADA CITY, CA 95959
· Mental Illness Community Based Residential Treatment Facility
· NPI assigned 04/16/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code H0019 with only 1 total codes billed. Highly concentrated billing profile.
$1.46M
Total Medicaid Paid
Provider Details
| Authorized Official | HEGGARTY, MICHAEL (DIRECTOR OF BEHAVIORAL HEALTH) |
| NPI Enumeration Date | 04/16/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
39 |
$138K |
| 2019 |
13 |
$45K |
| 2021 |
12 |
$48K |
| 2022 |
164 |
$693K |
| 2023 |
429 |
$414K |
| 2024 |
482 |
$120K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0019 |
Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem |
1,139 |
409 |
$1.46M |