Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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BESTSELF BEHAVIORAL HEALTH, INC.

NPI: 1922210657 · BUFFALO, NY 14201 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 05/04/2007

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

100% of spending on code G9005 with only 2 total codes billed. Highly concentrated billing profile.

$57.71M
Total Medicaid Paid
188,543
Total Claims
188,540
Beneficiaries
2
Codes Billed
2018-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHITZEL, HOWARD (PRESIDENT)
NPI Enumeration Date05/04/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 55 $5K
2019 8,871 $2.47M
2020 24,312 $6.99M
2021 34,886 $10.70M
2022 43,734 $13.70M
2023 42,998 $13.37M
2024 33,687 $10.48M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G9005 Coordinated care fee, risk adjusted maintenance 187,476 187,473 $57.63M
G9001 Coordinated care fee, initial rate 1,067 1,067 $80K