CMS AGENCY, INC.
NPI: 1861551566
· ST. PAULS, NC 28384
· Community/Behavioral Health Agency
· NPI assigned 12/08/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
91% of spending on code T2013 with only 2 total codes billed. Highly concentrated billing profile.
$3.28M
Total Medicaid Paid
Provider Details
| Authorized Official | SEGURA, TAMMY (OWNER) |
| NPI Enumeration Date | 12/08/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,897 |
$894K |
| 2019 |
5,626 |
$897K |
| 2020 |
6,009 |
$955K |
| 2021 |
3,164 |
$540K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2013 |
Habilitation, educational, waiver; per hour |
17,575 |
646 |
$2.98M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
2,121 |
110 |
$308K |