Reimagine Network

Reimagine Network was paid $3.88M by Medicaid between Jan 2018 and Oct 2021, across 1 billing code. Its largest line is S5102, adult day care, billed per day — 100% of everything it billed.

33Billing provider infoREIMAGINE NETWORK
SAN CLEMENTE, CA 92673

33aNPI1871660126assigned 11/30/2006

33bProvider typeHealth Service Clinic/Center

28Total paid$3.88M

24GClaims46,934

24DCodes billed1

24AFirst – last monthJan 2018 – Oct 2021

Compared with peers

Next to other Health Service Clinic/Center providers in California

Rank by total paid#7 of 87

Median peer was paid$88K

This provider vs. median44×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code S5102 with only 1 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	11,036	$868K
2019	11,760	$970K
2020	13,028	$1.08M
2021	11,110	$958K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S5102	Adult day care, billed per dayDay care services, adult; per diem	100%	46,934	2,648	$3.88M

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialERLENBUSH, CHRISTIAN (SENIOR DIRECTOR - CLINICAL SERVICES)