Medicaid Provider Spending

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

RECOVERY HOUSE, INC.

NPI: 1922051242 · WALLINGFORD, VT 05773 · Substance Abuse Rehabilitation Facility · NPI assigned 05/18/2006

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

98% of spending on code H0018 with only 3 total codes billed. Highly concentrated billing profile.

$10.23M
Total Medicaid Paid
4,248
Total Claims
3,277
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFITZSIMMONS, SUZANNE (BUSINESS MANAGER)
NPI Enumeration Date05/18/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,339 $1.34M
2019 492 $1.46M
2020 396 $1.14M
2021 389 $1.15M
2022 629 $1.36M
2023 515 $1.61M
2024 488 $2.17M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 3,327 2,844 $10.00M
H0011 Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) 244 212 $217K
90853 Group psychotherapy (other than of a multiple-family group) 677 221 $10K