NEW INSIGHTS BEHAVIORAL HEALTH
NPI: 1700435914
· BALTIMORE, MD 21216
· Adult Mental Health Clinic/Center
· NPI assigned 09/10/2019
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code H0015 with only 2 total codes billed. Highly concentrated billing profile.
$4.79M
Total Medicaid Paid
Provider Details
| Authorized Official | TERRY, KAREN (PROGRAM DIRECTOR) |
| NPI Enumeration Date | 09/10/2019 |
Related Entities
Other providers sharing the same authorized official: TERRY, KAREN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
738 |
$103K |
| 2020 |
2,574 |
$360K |
| 2022 |
752 |
$128K |
| 2023 |
7,056 |
$1.22M |
| 2024 |
15,906 |
$2.98M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0015 |
Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education |
26,517 |
2,236 |
$4.69M |
| H0001 |
Alcohol and/or drug assessment |
509 |
311 |
$106K |