Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SOUTHERN MARYLAND COMMUNITY NETWORK, INC.

NPI: 1740593995 · LEONARDTOWN, MD 20650 · Case Management Agency · NPI assigned 07/16/2010

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

96% of spending on code T1016 with only 2 total codes billed. Highly concentrated billing profile.

$2.09M
Total Medicaid Paid
16,248
Total Claims
6,355
Beneficiaries
2
Codes Billed
2018-01
First Month
2023-07
Last Month

Provider Details

Authorized OfficialCARLONI, KAREN (EXECUTIVE DIRECTOR)
NPI Enumeration Date07/16/2010

Related Entities

Other providers sharing the same authorized official: CARLONI, KAREN

ProviderCityStateTotal Paid
SOUTHERN MARYLAND COMMUNITY NETWORK INC LEONARDTOWN MD $2.01M
SOUTHERN MARYLAND COMMUNITY NETWORK INC WALDORF MD $1.27M
SOUTHERN MARYLAND COMMUNITY NETWORK INC WALDORF MD $815K
SOUTHERN MARYLAND COMMUNITY NETWORK, INC. PRINCE FREDERICK MD $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,952 $346K
2019 3,551 $430K
2020 3,609 $445K
2021 2,579 $344K
2022 2,426 $359K
2023 1,131 $170K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1016 Case management, each 15 minutes 15,618 5,742 $2.01M
H0031 Mental health assessment, by non-physician 630 613 $80K