CLEVELAND PSYCHOSOCIAL SERVICES, INC
NPI: 1831234616
· SHELBY, NC 28150
· Community/Behavioral Health Agency
· NPI assigned 02/20/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code H2017 with only 3 total codes billed. Highly concentrated billing profile.
$6.42M
Total Medicaid Paid
Provider Details
| Authorized Official | GUNN, TOMMY (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 02/20/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,164 |
$666K |
| 2019 |
5,031 |
$520K |
| 2020 |
3,647 |
$826K |
| 2021 |
2,792 |
$1.07M |
| 2022 |
3,250 |
$1.31M |
| 2023 |
7,024 |
$1.03M |
| 2024 |
9,576 |
$989K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
34,952 |
4,217 |
$6.27M |
| 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) |
2,503 |
1,008 |
$137K |
| H2017U5 |
|
29 |
25 |
$13K |