Diversified Assessment & Therapy Services
Cost Outlier
Billing over 3× the national median for specific procedure codes.
This provider bills $1,595.66 per claim for S5125 (Attendant care services, per 15 min), which is 19.4× the national median of $82.34.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Cost Outlier
Cost Outlier means this provider charges significantly more per claim than other providers billing the same procedure codes. This could indicate upcoding, inflated charges, or specialized services that justify higher costs.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Bills $1,595.66 per claim for S5125 (Attendant care services, per 15 min) — 19.4× the national median of $82.34.
Bills $128.31 per claim for T1002 (RN services, per 15 minutes) — 3.4× the national median of $37.42.
Bills $301.93 per claim for T1005 (Respite care services, per 15 minutes) — 4.2× the national median of $71.40.
Billing above the 90th percentile for 3 procedure codes simultaneously.
This is a statistical summary, not an accusation. See our methodology.
Compared to Community/Behavioral Health Peers
Total spending distribution among 218 providers in this specialty
This provider's total spending of $122.7M is at the 50th percentile among 218 Community/Behavioral Health providers.
Total Paid
$122.7M
$122,668,670
Total Claims
201K
Beneficiaries
71K
2.8 claims/patient
Avg Cost/Claim
$611
#973 of 618K providers by total spending(top 0.2%)
🔍 Analysis
Provider Overview
Diversified Assessment & Therapy Services is a Community/Behavioral Health provider based in Kenova, WV. From the 2018–2024 period, this provider received $122.7M in Medicaid payments across 201K claims.
Why This Matters
This provider received $122.7M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 15,333 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 13 distinct procedure codes. The top code (S5125 (Attendant care services, per 15 min)) accounts for 85% of total spending.
$104.6M
66K claims
$1,595.66
$82.34
Attendant care services, per 15 min
$104.6M
66K claims · 85.2%
$4.5M
29K claims
$154.53
$150.51
Day habilitation, waiver; per 15 min
$4.5M
29K claims · 3.7%
RN services, per 15 minutes
$3.4M
26K claims · 2.8%
Respite care services, per 15 minutes
$2.4M
8K claims · 1.9%
$2.3M
11K claims
$212.62
$108.80
Coordinated care fee, maintenance period
$2.3M
11K claims · 1.9%
$1.9M
8K claims · 1.5%
LPN/LVN services, per 15 minutes
$1.8M
24K claims · 1.4%
Case management, each 15 min
$1.1M
17K claims · 0.9%
$369K
6K claims
$64.62
$259.38
Supported employment, waiver, per diem
$369K
6K claims · 0.3%
Speech/hearing/language treatment
$204K
3K claims · 0.2%
Therapeutic activities, each 15 min
$116K
1K claims · 0.1%
Non-emergency mini-bus transport
$72K
2K claims · 0.1%
$7K
46 claims
$148.55
$88.91
Habilitation, prevocational, waiver; per 15 min
$7K
46 claims · 0.0%
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