Medicaid Provider Spending

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

OPTIONS INC

NPI: 1679797047 · HAMMOND, LA 70401 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 04/13/2007

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

100% of spending on code S5125 with only 1 total codes billed. Highly concentrated billing profile.

$23.04M
Total Medicaid Paid
157,749
Total Claims
4,814
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBUSH, SYLVIA (EXECUTIVE DIRECTOR)
NPI Enumeration Date04/13/2007

Related Entities

Other providers sharing the same authorized official: BUSH, SYLVIA

ProviderCityStateTotal Paid
OPTIONS INC HAMMOND LA $3.26M
OPTIONS INC HAMMOND LA $2.29M
OPTIONS INC HAMMOND LA $1.98M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,788 $3.17M
2019 11,361 $3.51M
2020 32,775 $3.68M
2021 28,993 $3.33M
2022 27,371 $3.36M
2023 26,715 $3.26M
2024 22,746 $2.72M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 157,749 4,814 $23.04M