Medicaid Provider Spending

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

SOUTHERN MARYLAND COMMUNITY NETWORK, INC.

NPI: 1922325398 · PRINCE FREDERICK, MD 20678 · Case Management Agency · NPI assigned 04/26/2010

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

97% of spending on code T1016 with only 2 total codes billed. Highly concentrated billing profile.

$1.26M
Total Medicaid Paid
9,671
Total Claims
4,093
Beneficiaries
2
Codes Billed
2018-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialBENNETT, JOHN (EXECUTIVE DIRECTOR)
NPI Enumeration Date04/26/2010

Related Entities

Other providers sharing the same authorized official: BENNETT, JOHN

ProviderCityStateTotal Paid
SUNNY DAYS IN-HOME CARE MC MURRAY PA $11.48M
UCONNECTCARE ALBION NY $10.87M
SOUTHERN MARYLAND COMMUNITY NETWORK, INC. PRINCE FREDERICK, MD $6.76M
SUNNY DAYS IRON MOUNTAIN LLC MC MURRAY PA $4.32M
GENTOX, LLC BENSALEM PA $312K
DEVON MEDICAL PRODUCTS INC KING OF PRUSSIA PA $179K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,692 $198K
2019 1,771 $214K
2020 1,572 $194K
2021 2,088 $279K
2022 1,682 $247K
2023 866 $130K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1016 Case management, each 15 minutes 9,401 3,840 $1.23M
H0031 Mental health assessment, by non-physician 270 253 $36K