FERGUSON, MATT
NPI: 1902426596
· JOPLIN, MO 64801
· Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
· NPI assigned 04/23/2020
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T2016 with only 3 total codes billed. Highly concentrated billing profile.
$17.85M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,216 |
$685K |
| 2022 |
6,108 |
$3.95M |
| 2023 |
7,911 |
$6.41M |
| 2024 |
7,232 |
$6.80M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2016 |
Habilitation, residential, waiver; per diem |
21,043 |
695 |
$17.58M |
| T2001 |
Non-emergency transportation; patient attendant/escort |
655 |
653 |
$196K |
| T1002 |
Rn services, up to 15 minutes |
769 |
764 |
$67K |