CLEGAIL PROFESSIONAL SERVICES LLC
NPI: 1578992962
· BURLINGTON, NC 27215
· Psychiatric Residential Treatment Facility
· NPI assigned 11/05/2013
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code 99509 with only 1 total codes billed. Highly concentrated billing profile.
$2.43M
Total Medicaid Paid
Provider Details
| Authorized Official | SOWA, CLEMENT (MEMBER) |
| NPI Enumeration Date | 11/05/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
564 |
$148K |
| 2019 |
672 |
$217K |
| 2020 |
513 |
$258K |
| 2021 |
680 |
$303K |
| 2022 |
564 |
$374K |
| 2023 |
740 |
$512K |
| 2024 |
4,281 |
$620K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99509 |
Home visit for assistance with activities of daily living and personal care |
8,014 |
1,376 |
$2.43M |