Medicaid Provider Spending

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

NPI: 1922454453 · HIGGINSVILLE, MO 64037 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 05/13/2016

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

99% of spending on code T2016 with only 3 total codes billed. Highly concentrated billing profile.

$20.81M
Total Medicaid Paid
42,196
Total Claims
2,818
Beneficiary Records
3
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialEDWARDS-PAYNE, STACIA (DIRECTOR)
NPI Enumeration Date05/13/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,629 $1.50M
2019 6,093 $2.14M
2020 6,449 $2.65M
2021 5,811 $2.87M
2022 6,457 $3.67M
2023 6,874 $4.13M
2024 5,883 $3.85M

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
T2016 Habilitation, residential, waiver; per diem 39,511 1,300 $20.71M
T1002 Rn services, up to 15 minutes 2,392 1,225 $83K
T2001 Non-emergency transportation; patient attendant/escort 293 293 $21K