Agency
Kingly Community Resource Center
Kingly Community Resource Center was paid $1.37M by Medicaid between Jan 2018 and Dec 2023, across 2 billing codes. Its largest line is T1016, Case management, each 15 minutes — 100% of everything it billed.
33Billing provider infoKINGLY COMMUNITY RESOURCE CENTER
MILWAUKEE, WI 53212
MILWAUKEE, WI 53212
33aNPI1881133627assigned 02/13/2017
33bProvider typeCase Management Agency
28Total paid$1.37M
24GClaims26,606
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Case Management Agency providers in Wisconsin
Rank by total paid#53 of 156
Median peer was paid$578K
This provider vs. median2.4×
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 T1016 with only 2 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 | 2,292 | $164K | |
| 2019 | 4,461 | $279K | |
| 2020 | 5,993 | $305K | |
| 2021 | 6,017 | $293K | |
| 2022 | 4,037 | $195K | |
| 2023 | 3,806 | $135K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1016 | Case management, each 15 minutes | 100% | 26,468 | 3,664 | $1.37M |
| H1004 | Prenatal care, at-risk enhanced service; follow-up home visit | <1% | 138 | 87 | $4K |
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 officialRANDOLPH, ROBERT (OWNER)