ESPECIAL NEEDS, LLC
NPI: 1720214760
· SAINT LOUIS, MO 63146
· Contractor
· NPI assigned 06/04/2009
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
93% of spending on code T2029 with only 3 total codes billed. Highly concentrated billing profile.
$3.56M
Total Medicaid Paid
Provider Details
| Authorized Official | KOURI, SCOTT (SALES MANAGER) |
| NPI Enumeration Date | 06/04/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
364 |
$285K |
| 2019 |
504 |
$465K |
| 2020 |
490 |
$398K |
| 2021 |
620 |
$530K |
| 2022 |
688 |
$602K |
| 2023 |
872 |
$691K |
| 2024 |
751 |
$588K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2029 |
Specialized medical equipment, not otherwise specified, waiver |
4,082 |
3,730 |
$3.33M |
| S5165 |
Home modifications; per service |
193 |
191 |
$218K |
| T2028 |
Specialized supply, not otherwise specified, waiver |
14 |
13 |
$15K |