IDEA FORUM INC.
NPI: 1841518404
· DENVER, CO 80223
· Community/Behavioral Health Agency
· NPI assigned 05/06/2010
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
91% of spending on code H0005 with only 3 total codes billed. Highly concentrated billing profile.
$3.00M
Total Medicaid Paid
Provider Details
| Authorized Official | AVINA, MIGUEL (COO) |
| NPI Enumeration Date | 05/06/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,597 |
$97K |
| 2019 |
1,314 |
$76K |
| 2020 |
7,000 |
$423K |
| 2021 |
7,621 |
$460K |
| 2022 |
12,233 |
$862K |
| 2023 |
11,441 |
$761K |
| 2024 |
4,866 |
$316K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
43,219 |
13,045 |
$2.72M |
| H0001 |
Alcohol and/or drug assessment |
2,058 |
1,752 |
$219K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
795 |
318 |
$59K |