Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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MOUNTAIN HEALTH & COMMUNITY SERVICES, INC

NPI: 1932566395 · SANTEE, CA 92071 · Federally Qualified Health Center (FQHC) · NPI assigned 01/15/2016

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

100% of spending on code T1015 with only 1 total codes billed. Highly concentrated billing profile.

$2.23M
Total Medicaid Paid
14,097
Total Claims
10,713
Beneficiaries
1
Codes Billed
2018-01
First Month
2020-03
Last Month

Provider Details

Authorized OfficialSHAPLIN, JUDITH (CEO/PRESIDENT)
NPI Enumeration Date01/15/2016

Related Entities

Other providers sharing the same authorized official: SHAPLIN, JUDITH

ProviderCityStateTotal Paid
MOUNTAIN HEALTH & COMMUNITY SERVICES, INC. ALPINE CA $1.48M
MOUNTAIN HEALTH & COMMUNITY SERVICES, INC. SAN DIEGO CA $534K
MOUNTAIN HEALTH & COMMUNITY SERVICES, INC. ESCONDIDO CA $449K
MOUNTAIN HEALTH & COMMUNITY SERVICES, INC. CAMPO CA $246K
MOUNTAIN HEALTH & COMMUNITY SERVICES, INC. SAN DIEGO CA $97K
MOUNTAIN HEALTH & COMMUNITY SERVICES, INC. CAMPO CA $84K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,304 $828K
2019 6,267 $993K
2020 2,526 $405K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 14,097 10,713 $2.23M