Medicaid Provider Spending

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

NPI: 1841499241 · RUSTON, LA 71270 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 07/16/2007

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

100% of spending on code S5125 with only 1 total codes billed. Highly concentrated billing profile.

$9.80M
Total Medicaid Paid
66,527
Total Claims
2,560
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOUGLAS, MICHAEL (PRESIDENT)
NPI Enumeration Date07/16/2007

Related Entities

Other providers sharing the same authorized official: DOUGLAS, MICHAEL

ProviderCityStateTotal Paid
CERTICARE,INC. BOSSIER CITY LA $3.86M
BALTIMORE CARES, INC. BALTIMORE MD $2.69M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,216 $528K
2019 4,343 $820K
2020 9,406 $1.30M
2021 9,592 $1.31M
2022 11,775 $1.73M
2023 14,921 $2.16M
2024 12,274 $1.96M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 66,527 2,560 $9.80M