Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Cognitive Development Center Personal Care Services

Cognitive Development Center Personal Care Services was paid $27.90M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is S5125, attendant care at home, billed per 15 minutes — 100% of everything it billed.

33Billing provider infoCOGNITIVE DEVELOPMENT CENTER PERSONAL CARE SERVICES
MONROE, LA 71201
33aNPI1629145628assigned 11/29/2006
33bProvider typeNursing Care Agency
28Total paid$27.90M
24GClaims212,406
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Nursing Care Agency providers in Louisiana

Rank by total paid#1 of 28
Median peer was paid$2.91M
This provider vs. median9.6×

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.

Single-Code Concentration100% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
201832,728$3.24M
201933,574$3.67M
202029,094$3.45M
202130,087$3.99M
202228,752$4.45M
202330,599$4.80M
2024incomplete27,572$4.31M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S5125 Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes 100% 212,231 7,337 $27.90M
T2019 Habilitation, supported employment, waiver; per 15 minutes <1% 175 49 $3K

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 officialFISHER, ADRIAN (DIRECTOR)
Same official

Other billing entities under FISHER, ADRIAN

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.