Residential
Innovative Lifestyles, INC
Innovative Lifestyles, INC was paid $11.12M by Medicaid between Mar 2020 and Dec 2024, across 4 billing codes. Its largest line is H2015, community support for mental illness or disability, per 15 minutes — 78% of everything it billed.
33Billing provider infoINNOVATIVE LIFESTYLES, INC
WATERFORD, MI 48329
WATERFORD, MI 48329
33aNPI1730615717assigned 05/11/2017
33bProvider typeIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
28Total paid$11.12M
24GClaims102,705
24DCodes billed4
24AFirst – last monthMar 2020 – Dec 2024
Compared with peers
Next to other Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Michigan
Rank by total paid#20 of 48
Median peer was paid$7.84M
This provider vs. median1.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
High Claims/Beneficiary Ratio50 claims per beneficiary (threshold: 50). This could indicate intensive per-unit billing or warrant further review. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 7,134 | $1.38M | |
| 2021 | 23,376 | $2.36M | |
| 2022 | 21,671 | $2.23M | |
| 2023 | 24,963 | $2.22M | |
| 2024incomplete | 25,561 | $2.94M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 78% | 100,551 | 1,236 | $8.73M |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 15% | 1,036 | 396 | $1.62M |
| T1020 | Help at home with daily living, billed per dayPersonal 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) | 5.3% | 1,037 | 396 | $593K |
| H0043 | Supported housing, per diem | 1.7% | 81 | 26 | $187K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHURLEY, PAMELA (EXECUTIVE DIRECTOR)