Medicaid Provider Spending

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

COMMUNITY, WORK, AND INDEPENDENCE, INC.

NPI: 1770837460 · GLENS FALLS, NY 12804 · Community/Behavioral Health Agency · NPI assigned 11/01/2012

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

100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.

$1.20M
Total Medicaid Paid
9,712
Total Claims
481
Beneficiaries
1
Codes Billed
2018-01
First Month
2020-01
Last Month

Provider Details

Authorized OfficialDONAHUE, MARK (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date11/01/2012

Related Entities

Other providers sharing the same authorized official: DONAHUE, MARK

ProviderCityStateTotal Paid
COMMUNITY WORK AND INDEPENDENCE, INC. GLENS FALLS NY $3.74M
SHERIDAN FAMILY DENTISTRY PLLC TONAWANDA NY $47K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,073 $494K
2019 5,395 $678K
2020 244 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1019 Personal care services, per 15 minutes, 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) 9,712 481 $1.20M