ARC OF THE CAPITAL AREA
NPI: 1659490134
· AUSTIN, TX 78705
· Case Management Agency
· NPI assigned 03/28/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T2022 with only 2 total codes billed. Highly concentrated billing profile.
$6.38M
Total Medicaid Paid
Provider Details
| Authorized Official | EASON, SUSAN (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 03/28/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,426 |
$968K |
| 2019 |
5,226 |
$940K |
| 2020 |
5,037 |
$906K |
| 2021 |
5,103 |
$919K |
| 2022 |
5,329 |
$959K |
| 2023 |
4,782 |
$860K |
| 2024 |
4,600 |
$827K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2022 |
Case management, per month |
35,488 |
35,451 |
$6.37M |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
15 |
15 |
$4K |