Medicaid Provider Spending

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

NPI: 1871079947 · ASHLAND, KY 41101 · Developmentally Disabled Services Day Training Agency · NPI assigned 07/12/2018

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

96% of spending on code T2016 with only 2 total codes billed. Highly concentrated billing profile.

$2.41M
Total Medicaid Paid
12,625
Total Claims
532
Beneficiaries
2
Codes Billed
2019-06
First Month
2021-06
Last Month

Provider Details

Authorized OfficialBURGESS, OLEY (MEMBER /OWNER)
NPI Enumeration Date07/12/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 3,491 $540K
2020 6,437 $1.21M
2021 2,697 $667K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2016 Habilitation, residential, waiver; per diem 11,190 410 $2.33M
T2021 Day habilitation, waiver; per 15 minutes 1,435 122 $89K