Medicaid Provider Spending

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

CHAUTAUQUA COUNTY CHAPTER OF NYSARC INC.

NPI: 1912061789 · DUNKIRK, NY 14048 · Adult Mental Health Clinic/Center · NPI assigned 12/19/2006

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

99% of spending on code H2019 with only 3 total codes billed. Highly concentrated billing profile.

$1.46M
Total Medicaid Paid
2,233
Total Claims
2,221
Beneficiaries
3
Codes Billed
2019-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJONES, DENISE (EXECUTIVE DIRECTOR)
NPI Enumeration Date12/19/2006

Related Entities

Other providers sharing the same authorized official: JONES, DENISE

ProviderCityStateTotal Paid
CHAUTAUQUA COUNTY CHAPTER OF NYSARC INC JAMESTOWN NY $13.58M
ABSOLUTELY DIVINE HOME CARE AGENCY, INC. FAYETTEVILLE NC $2.83M
CHAUTAUQUA COUNTY CHAPTER OF NYSARC INC. JAMESTOWN NY $259K
CHAUTAUQUA COUNTY CHAPTER OF NYSARC INC. JAMESTOWN NY $73K
CHAUTAUQUA COUNTY CHAPTER OF NYSARC INC JAMESTOWN NY $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 206 $61K
2020 482 $277K
2021 511 $360K
2022 492 $395K
2023 407 $289K
2024 135 $76K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2019 Therapeutic behavioral services, per 15 minutes 1,984 1,984 $1.45M
T1015 Clinic visit/encounter, all-inclusive 96 96 $7K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 153 141 $3K