Medicaid Provider Spending

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

PIONEER HUMAN SERVICES

NPI: 1912563883 · SEDRO WOOLLEY, WA 98284 · Community/Behavioral Health Agency · NPI assigned 05/15/2019

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

95% of spending on code H0018 with only 2 total codes billed. Highly concentrated billing profile.

$1.96M
Total Medicaid Paid
1,093
Total Claims
963
Beneficiaries
2
Codes Billed
2021-02
First Month
2022-12
Last Month

Provider Details

Authorized OfficialRUSH, VICKI (CONTRACTS ADMINISTRATOR)
NPI Enumeration Date05/15/2019

Related Entities

Other providers sharing the same authorized official: RUSH, VICKI

ProviderCityStateTotal Paid
PIONEER HUMAN SERVICES SPOKANE WA $263K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 249 $463K
2022 844 $1.50M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 589 487 $1.87M
H2036 Alcohol and/or other drug treatment program, per diem 504 476 $90K