Medicaid Provider Spending

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

LEADING BY EXAMPLE LLC

NPI: 1659806909 · ABINGDON, MD 21009 · Community/Behavioral Health Agency · NPI assigned 04/25/2017

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

100% of spending on code T1016 with only 2 total codes billed. Highly concentrated billing profile.

$1.25M
Total Medicaid Paid
8,765
Total Claims
2,499
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRIMI, MARY (PROGRAM DEVELOPMENT MANAGER)
NPI Enumeration Date04/25/2017

Related Entities

Other providers sharing the same authorized official: RIMI, MARY

ProviderCityStateTotal Paid
LEADING BY EXAMPLE LLC NOTTINGHAM MD $5.43M
LEADING BY EXAMPLE LLC. ABINGDON MD $706K
LEADING BY EXAMPLE LLC BALTIMORE MD $572K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 548 $64K
2019 703 $85K
2020 1,422 $179K
2021 1,521 $204K
2022 1,692 $254K
2023 1,643 $250K
2024 1,236 $210K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1016 Case management, each 15 minutes 8,753 2,487 $1.25M
H0031 Mental health assessment, by non-physician 12 12 $2K