Medicaid Provider Spending

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

FAMILY SOLUTIONS III, INC.

NPI: 1568655249 · JESUP, IA 50648 · Community/Behavioral Health Agency · NPI assigned 08/24/2007

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

99% of spending on code H2019 with only 2 total codes billed. Highly concentrated billing profile.

$1.71M
Total Medicaid Paid
23,708
Total Claims
3,221
Beneficiary Records
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialALTHAUS, GAIL (EXECUTIVE OFFICER)
NPI Enumeration Date08/24/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,175 $276K
2019 4,429 $289K
2020 1,562 $100K
2021 2,388 $158K
2022 3,185 $202K
2023 3,441 $286K
2024 4,528 $399K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
H2019 Therapeutic behavioral services, per 15 minutes 23,563 3,108 $1.70M
90791 Psychiatric diagnostic evaluation 145 113 $10K