Medicaid Provider Spending

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

TRANSFORMATION HEALTHCARE INC.

NPI: 1679176903 · BALTIMORE, MD 21212 · Community/Behavioral Health Agency · NPI assigned 11/19/2020

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

100% of spending on code H0040 with only 1 total codes billed. Highly concentrated billing profile.

$3.76M
Total Medicaid Paid
2,228
Total Claims
2,221
Beneficiaries
1
Codes Billed
2021-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCHANA, CALISTA (CEO)
NPI Enumeration Date11/19/2020

Related Entities

Other providers sharing the same authorized official: CHANA, CALISTA

ProviderCityStateTotal Paid
TRANSFORMATION HEALTHCARE INC. BALTIMORE MD $5.45M
TRANSFORMATION HEALTHCARE INC. BALTIMORE MD $3.73M
TRANSFORMATION HEALTHCARE INC. BALTIMORE MD $886K
TRANSFORMATION HEALTHCARE INC COLUMBIA MD $646K
TRANSFORMATION HEALTHCARE INC COLUMBIA MD $449K
TRANSFORMATION HEALTHCARE INC COLUMBIA MD $185K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 29 $40K
2022 493 $786K
2023 869 $1.41M
2024 837 $1.52M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0040 Assertive community treatment program, per diem 2,228 2,221 $3.76M