Medicaid Provider Spending

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

NPI: 1750864872 · SOMERSET, KY 42503 · Developmentally Disabled Services Day Training Agency · NPI assigned 09/14/2018

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

97% of spending on code T2016 with only 2 total codes billed. Highly concentrated billing profile.

$10.01M
Total Medicaid Paid
44,390
Total Claims
1,824
Beneficiaries
2
Codes Billed
2019-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPICARD, JAY (OWNER)
NPI Enumeration Date09/14/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 6,275 $928K
2020 7,990 $1.71M
2021 9,415 $2.06M
2022 9,143 $1.93M
2023 6,818 $1.87M
2024 4,749 $1.51M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2016 Habilitation, residential, waiver; per diem 40,038 1,502 $9.72M
T2021 Day habilitation, waiver; per 15 minutes 4,352 322 $284K