Medicaid Provider Spending

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

DURHAM EXCHANGE CLUB INDUSTRIES

NPI: 1982767513 · DURHAM, NC 27703 · Developmentally Disabled Services Day Training Agency · NPI assigned 12/18/2006

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

95% of spending on code T2021 with only 3 total codes billed. Highly concentrated billing profile.

$5.50M
Total Medicaid Paid
64,982
Total Claims
4,855
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSUMMEY, MELISSA (CONTROLLER)
NPI Enumeration Date12/18/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,315 $858K
2019 10,059 $809K
2020 7,078 $558K
2021 6,634 $585K
2022 8,211 $691K
2023 14,514 $1.24M
2024 8,171 $758K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2021 Day habilitation, waiver; per 15 minutes 58,608 3,232 $5.20M
H2026 Ongoing support to maintain employment, per diem 6,183 1,611 $268K
T2016 Habilitation, residential, waiver; per diem 191 12 $26K