National Mentor Healthcare Network
Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities
Jacksonville, Florida
NPI: 1013093616
Risk Tier
Elevated
Total Paid
$115.0M
$114,960,150
Total Claims
293K
Beneficiaries
42K
Avg Cost/Claim
$392.62
Statistical Fraud Flags (1)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $4,124.24 per claim for T2023 (Community transition, waiver; per service), which is 13.7× the national median of $300.13.
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024