Medicaid Provider Spending

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

NPI: 1679802631 · CHARLOTTE, NC 28227 · Child & Family Psychiatric/Mental Health Clinical Nurse Specialist · NPI assigned 12/21/2009

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

99% of spending on code T1017 with only 3 total codes billed. Highly concentrated billing profile.

$1.21M
Total Medicaid Paid
14,346
Total Claims
8,757
Beneficiaries
3
Codes Billed
2018-01
First Month
2020-02
Last Month

Provider Details

Authorized OfficialPOUGH, VIRGINIA (EXECUTIVE DIRECTOR)
NPI Enumeration Date12/21/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,663 $729K
2019 5,221 $442K
2020 462 $37K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1017 Targeted case management, each 15 minutes 14,259 8,679 $1.20M
T1016 Case management, each 15 minutes 69 60 $7K
H1017 18 18 $1K