Medicaid Provider Spending

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

BEHAVIORAL HEALTH SPECIALISTS SUNRISE PLACE

NPI: 1922160969 · NORFOLK, NE 68701 · Substance Abuse Rehabilitation Facility · NPI assigned 12/15/2006

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

100% of spending on code H0018 with only 2 total codes billed. Highly concentrated billing profile.

$4.62M
Total Medicaid Paid
19,971
Total Claims
1,478
Beneficiaries
2
Codes Billed
2020-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBRODERS, NEIL (EXECUTIVE DIRECTOR)
Parent OrganizationBEHAVIORAL HEALTH SPECIALISTS INC
NPI Enumeration Date12/15/2006

Related Entities

Other providers sharing the same authorized official: BRODERS, NEIL

ProviderCityStateTotal Paid
BEHAVIORAL HEALTH SPECIALISTS, INC SEEKERS OF SERENITY PLACE COLUMBUS NE $4.09M
BEHAVIORAL HEALTH SPECIALISTS INC NORFOLK NE $1.34M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 191 $69K
2021 3,014 $618K
2022 5,647 $1.27M
2023 5,899 $1.45M
2024 5,220 $1.22M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem 19,927 1,464 $4.61M
H0012 Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) 44 14 $9K