Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Residential

Elmira INC

Elmira INC was paid $962K by Medicaid between Sep 2018 and Apr 2021, across 3 billing codes. Its largest line is H0043, Supported housing, per diem — 59% of everything it billed.

33Billing provider infoELMIRA INC
INKSTER, MI 48141
33aNPI1619374899assigned 12/03/2014
28Total paid$962K
24GClaims14,714
24DCodes billed3
24AFirst – last monthSep 2018 – Apr 2021
Compared with peers

Next to other Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Michigan

Rank by total paid#41 of 48
Median peer was paid$7.84M
This provider vs. median0.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

High Claims/Beneficiary Ratio55 claims per beneficiary (threshold: 50). This could indicate intensive per-unit billing or warrant further review. Read more
Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018388$59K
20191,051$139K
20208,819$549K
20214,456$214K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0043 Supported housing, per diem 59% 3,934 135 $566K
H2015 Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes 36% 8,824 93 $343K
T2027 Specialized childcare, waiver; per 15 minutes 5.5% 1,956 40 $53K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialHAYES, LILLY (EXECUTIVE DIRECTOR)