Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › SEYMOUR › ENHANCE, INC.

ENHANCE, INC.

NPI: 1962585778 · SEYMOUR, IN 47274 · Mental Health Counselor · NPI assigned 10/23/2006

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

90% of spending on code H0004 with only 3 total codes billed. Highly concentrated billing profile.

$1.71M
Total Medicaid Paid
8,104
Total Claims
6,089
Beneficiaries
3
Codes Billed
2018-01
First Month
2021-08
Last Month

Provider Details

Authorized OfficialSHEPHERD, JAMES (BEHAVIOR CONSULTANT)
NPI Enumeration Date10/23/2006

Related Entities

Other providers sharing the same authorized official: SHEPHERD, JAMES

ProviderCityStateTotal Paid
PRIORITY HOME MEDICAL EQUIPMENT LLC CLINTON OK $75K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,774 $486K
2019 2,130 $483K
2020 2,430 $419K
2021 1,770 $325K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0004 Behavioral health counseling and therapy, per 15 minutes 6,472 5,637 $1.54M
T2020 Day habilitation, waiver; per diem 1,001 274 $87K
T2033 Residential care, not otherwise specified (nos), waiver; per diem 631 178 $84K