INNOVATIVE LIFESTYLES, INC
NPI: 1730615717
· WATERFORD, MI 48329
· Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
· NPI assigned 05/11/2017
Billing Flags
· Automated signals — not evidence of fraud
High Claims/Beneficiary Ratio
50 claims per beneficiary (threshold: 50). This could indicate intensive per-unit billing or warrant further review. Read more
$11.12M
Total Medicaid Paid
Provider Details
| Authorized Official | HURLEY, PAMELA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 05/11/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
7,134 |
$1.38M |
| 2021 |
23,376 |
$2.36M |
| 2022 |
21,671 |
$2.23M |
| 2023 |
24,963 |
$2.22M |
| 2024 |
25,561 |
$2.94M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comprehensive community support services, per 15 minutes |
100,551 |
1,236 |
$8.73M |
| H2016 |
Comprehensive community support services, per diem |
1,036 |
396 |
$1.62M |
| T1020 |
Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
1,037 |
396 |
$593K |
| H0043 |
Supported housing, per diem |
81 |
26 |
$187K |