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NPI M917673800
M917673800
M917673800 was paid $20.52M by Medicaid between Nov 2018 and Oct 2019, across 3 billing codes. Its largest line is T2028, Specialized supply, not otherwise specified, waiver — 100% of everything it billed.
33Billing provider infoM917673800
33aNPIM917673800
33bProvider type—
28Total paid$20.52M
24GClaims465,219
24DCodes billed3
24AFirst – last monthNov 2018 – Oct 2019
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
High Claims/Beneficiary Ratio62 claims per beneficiary (threshold: 50). This could indicate intensive per-unit billing or warrant further review. Read more
Single-Code Concentration100% of spending on code T2028 with only 3 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 15,455 | $503K | |
| 2019 | 449,764 | $20.02M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2028 | Specialized supply, not otherwise specified, waiver | 100% | 449,599 | 6,471 | $20.51M |
| T2040 | Financial management, self-directed, waiver; per 15 minutes | <1% | 289 | 208 | $7K |
| T2025 | Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos) | 0% | 15,331 | 765 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.