Medicaid Provider Spending

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

PRIORITY HEALTH SYSTEMS INC.

NPI: 1649651357 · WASHINGTON, DC 20011 · Case Manager/Care Coordinator · NPI assigned 06/18/2015

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

100% of spending on code T1023 with only 1 total codes billed. Highly concentrated billing profile.

$2.99M
Total Medicaid Paid
12,217
Total Claims
10,787
Beneficiaries
1
Codes Billed
2018-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDJONTU, FIRMIN (CEO)
NPI Enumeration Date06/18/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 31 $6K
2019 556 $96K
2020 1,693 $363K
2021 3,133 $786K
2022 2,696 $666K
2023 2,169 $529K
2024 1,939 $541K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 12,217 10,787 $2.99M