RESOURCES FOR HUMAN DEVELOPMENT
NPI: 1710337597
· PIERRE, SD 57501
· Case Management Agency
· NPI assigned 06/13/2016
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1016 with only 1 total codes billed. Highly concentrated billing profile.
$8.44M
Total Medicaid Paid
Provider Details
| Authorized Official | ADER, KENNETH (REVENUE CYCLE DIRECTOR) |
| NPI Enumeration Date | 06/13/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
22,296 |
$891K |
| 2019 |
22,539 |
$1.01M |
| 2020 |
18,934 |
$791K |
| 2021 |
31,867 |
$1.32M |
| 2022 |
29,844 |
$1.34M |
| 2023 |
27,386 |
$1.46M |
| 2024 |
24,262 |
$1.62M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
177,128 |
35,102 |
$8.44M |