Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

East Central Missouri Behavioral Health Services, INC

Community/Behavioral Health

Mexico, Missouri

NPI: 1326617978

Risk Tier

High

Total Paid

$15.8M

$15,839,692

Total Claims

125K

Beneficiaries

49K

Avg Cost/Claim

$127.20

Statistical Fraud Flags (2)

New Entrant

Started billing recently but already receiving millions in Medicaid payments.

First appeared in 2023-01 and has already billed $15.8M, averaging $660K/month across 24 months.

Instant Volume

New provider billing over $1M in their first year of Medicaid participation.

Billed $9.2M in first year (2023).

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