Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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OPTIMAL BEHAVIORAL AND MANAGEMENT GROUP, LLC

NPI: 1649676768 · MARION, SC 29571 · Professional Counselor · NPI assigned 11/17/2014

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

90% of spending on code T1017 with only 2 total codes billed. Highly concentrated billing profile.

$2.58M
Total Medicaid Paid
25,600
Total Claims
13,828
Beneficiaries
2
Codes Billed
2018-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialPITTMAN, SHANETTA (MANAGER)
NPI Enumeration Date11/17/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,023 $848K
2019 11,847 $1.18M
2020 4,663 $444K
2021 1,067 $111K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1017 Targeted case management, each 15 minutes 22,012 11,215 $2.33M
T1016 Case management, each 15 minutes 3,588 2,613 $255K