Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ELMIRA INC

NPI: 1619374899 · INKSTER, MI 48141 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 12/03/2014

Billing Flags · Automated signals — not evidence of fraud
High Claims/Beneficiary Ratio

55 claims per beneficiary (threshold: 50). This could indicate intensive per-unit billing or warrant further review. Read more

$962K
Total Medicaid Paid
14,714
Total Claims
268
Beneficiaries
3
Codes Billed
2018-09
First Month
2021-04
Last Month

Provider Details

Authorized OfficialHAYES, LILLY (EXECUTIVE DIRECTOR)
NPI Enumeration Date12/03/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 388 $59K
2019 1,051 $139K
2020 8,819 $549K
2021 4,456 $214K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0043 Supported housing, per diem 3,934 135 $566K
H2015 Comprehensive community support services, per 15 minutes 8,824 93 $343K
T2027 Specialized childcare, waiver; per 15 minutes 1,956 40 $53K