Medicaid Provider Spending

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

PONY BIRD INCORPORATED

NPI: 1629198031 · MAPAVILLE, MO 63065 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI assigned 03/30/2007

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

99% of spending on code T2016 with only 3 total codes billed. Highly concentrated billing profile.

$11.64M
Total Medicaid Paid
47,085
Total Claims
2,467
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialDALLAS, LINDA (EXECUTIVE DIRECTOR)
NPI Enumeration Date03/30/2007

Related Entities

Other providers sharing the same authorized official: DALLAS, LINDA

ProviderCityStateTotal Paid
PONY BIRD INCORPORATED MAPAVILLE MO $16.97M
PONY BIRD INCORPORATED MAPAVILLE MO $7.42M
PONY BIRD INCORPORATED MAPAVILLE MO $4.32M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,872 $1.44M
2019 7,881 $1.58M
2020 7,760 $1.61M
2021 7,407 $1.71M
2022 7,371 $2.12M
2023 6,930 $2.23M
2024 2,864 $955K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2016 Habilitation, residential, waiver; per diem 38,332 1,274 $11.48M
T1003 Lpn/lvn services, up to 15 minutes 7,852 923 $109K
T1002 Rn services, up to 15 minutes 901 270 $47K