BELLIES AND BABEES
NPI: 1578152104
· MILWAUKEE, WI 53219
· Case Management Agency
· NPI assigned 01/18/2021
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1016 with only 3 total codes billed. Highly concentrated billing profile.
$3.18M
Total Medicaid Paid
Provider Details
| Authorized Official | WATTS, NICHOLE (DIRECTOR) |
| NPI Enumeration Date | 01/18/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
10,149 |
$812K |
| 2022 |
16,353 |
$1.25M |
| 2023 |
17,799 |
$1.05M |
| 2024 |
874 |
$66K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
44,969 |
7,915 |
$3.16M |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
103 |
101 |
$7K |
| H1000 |
Prenatal care, at-risk assessment |
103 |
101 |
$7K |