BRIGHTDAYS COMMUNITY MENTAL CORP
NPI: 1972140523
· MIAMI, FL 33135
· Behavioral Analyst
· NPI assigned 12/03/2019
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code H2017 with only 3 total codes billed. Highly concentrated billing profile.
$9.12M
Total Medicaid Paid
Provider Details
| Authorized Official | SAMPEDRO RIVERO, LEYANES (PRESIDENT) |
| NPI Enumeration Date | 12/03/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
2,184 |
$242K |
| 2021 |
9,683 |
$983K |
| 2022 |
12,629 |
$1.32M |
| 2023 |
36,880 |
$3.83M |
| 2024 |
28,129 |
$2.75M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
87,294 |
5,374 |
$9.01M |
| H0032 |
Mental health service plan development by non-physician |
737 |
708 |
$68K |
| H0031 |
Mental health assessment, by non-physician |
1,474 |
708 |
$43K |