CHANGES REHABILITATION LLC.
NPI: 1568945749
· FULTON, KY 42041
· Substance Use Disorder Rehabilitation Clinic/Center
· NPI assigned 09/13/2018
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
94% of spending on code H0011 with only 3 total codes billed. Highly concentrated billing profile.
$9.38M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
9,318 |
$1.45M |
| 2022 |
10,114 |
$2.68M |
| 2023 |
9,738 |
$2.71M |
| 2024 |
9,164 |
$2.54M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0011 |
Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) |
34,649 |
2,580 |
$8.83M |
| H0018 |
Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem |
2,813 |
243 |
$366K |
| H2034 |
Alcohol and/or drug abuse halfway house services, per diem |
872 |
105 |
$186K |