Medicaid Provider Spending

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

NEWTON'S GROUP HOME OF WEST PLAINS -ISL

NPI: 1639203607 · WEST PLAINS, MO 65775 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 03/14/2007

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.

$23.53M
Total Medicaid Paid
62,817
Total Claims
5,175
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNEWTON, MICHAEL (PRESIDENT)
NPI Enumeration Date03/14/2007

Related Entities

Other providers sharing the same authorized official: NEWTON, MICHAEL

ProviderCityStateTotal Paid
LETS GO INC WEST PLAINS MO $9.75M
LAMPLIGHT VILLAGE LLC WEST PLAINS MO $742K
LAMPLIGHT VILLAGE LLC WEST PLAINS MO $391K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,915 $2.53M
2019 9,770 $2.82M
2020 9,363 $3.02M
2021 8,875 $3.24M
2022 8,901 $3.66M
2023 9,020 $4.32M
2024 7,973 $3.93M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2016 Habilitation, residential, waiver; per diem 56,172 1,908 $23.28M
T1002 Rn services, up to 15 minutes 4,901 1,543 $151K
T2001 Non-emergency transportation; patient attendant/escort 1,744 1,724 $94K