Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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J-1 CONSULTANTS

NPI: 1609101864 · HILLSBOROUGH, NC 27278 · Community/Behavioral Health Agency · NPI assigned 10/06/2009

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

99% of spending on code T2013 with only 2 total codes billed. Highly concentrated billing profile.

$3.07M
Total Medicaid Paid
25,744
Total Claims
1,359
Beneficiaries
2
Codes Billed
2018-01
First Month
2023-07
Last Month

Provider Details

Authorized OfficialHERRING, JANET (OWNER)
NPI Enumeration Date10/06/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,810 $621K
2019 5,590 $609K
2020 5,268 $663K
2021 4,306 $542K
2022 2,737 $341K
2023 2,033 $298K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2013 Habilitation, educational, waiver; per hour 25,385 1,286 $3.05M
S5150 Unskilled respite care, not hospice; per 15 minutes 359 73 $27K