Medicaid Provider Spending

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

LIVING OPPORTUNITIES OF DEPAUL

NPI: 1861564221 · ROCHESTER, NY 14624 · Mental Illness Community Based Residential Treatment Facility · NPI assigned 11/14/2006

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

100% of spending on code H2018 with only 1 total codes billed. Highly concentrated billing profile.

$6.52M
Total Medicaid Paid
1,955
Total Claims
1,913
Beneficiaries
1
Codes Billed
2018-12
First Month
2024-03
Last Month

Provider Details

Authorized OfficialWHALEN, JAMES (C.F.O.)
NPI Enumeration Date11/14/2006

Related Entities

Other providers sharing the same authorized official: WHALEN, JAMES

ProviderCityStateTotal Paid
DEPAUL ADULT CARE ROCHESTER NY $37.54M
DEPAUL COMMUNTIY SERVICES ROCHESTER NY $513K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14 $38K
2019 118 $309K
2020 407 $1.08M
2021 412 $1.39M
2022 473 $1.71M
2023 463 $1.73M
2024 68 $260K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2018 Psychosocial rehabilitation services, per diem 1,955 1,913 $6.52M