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

Meridian Services

Community/Behavioral Health·Muncie, IN·NPI: 1336238237SharePrint Report

Red Flags Explained

Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:

Rate Outlier

Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.

These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.

Risk Assessment

Bills $899.14 per claim for T2022 (Case management, per month) — 4.4× the national median of $202.77.

Billing in the top 1% nationally for 1 procedure code: T2022.

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

P25MedianP75P90

This provider's total spending of $245.2M is at the 90th percentile among 218 Community/Behavioral Health providers.

Above 90th percentile for this specialty — higher spending than 196 of 218 peers

Active Billing Period:2018-012024-12(84 months)

Total Paid

$245.2M

$245,212,711

Total Claims

2.1M

Beneficiaries

627K

3.3 claims/patient

Avg Cost/Claim

$118

#336 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Meridian Services is a Community/Behavioral Health provider based in Muncie, IN. From the 2018–2024 period, this provider received $245.2M in Medicaid payments across 2.1M claims.

Why This Matters

This provider received $245.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 30,651 Medicaid beneficiaries for a full year at average per-enrollee costs.

35% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$44.0M
-6%
2019
$41.1M
-15%
2020
$35.1M
-2%
2021
$34.3M
-8%
2022
$31.7M
-3%
2023
$30.6M
-7%
2024
$28.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 10 distinct procedure codes. The top code (H2014 (Skills training & development, per 15 min)) accounts for 89% of total spending.

H2014Top 25%

Skills training & development, per 15 min

$217.7M

1.4M claims · 88.8%

Your Cost: $151.77/claim|Median: $83.88
1.8× median
T1016Normal range

Case management, each 15 min

$15.3M

534K claims · 6.2%

Your Cost: $28.62/claim|Median: $49.62
0.6× median
T2022Top 1%

Case management, per month

$5.3M

6K claims · 2.1%

Your Cost: $899.14/claim|Median: $202.77
4.4× median
H0031Normal range

Mental health assessment by non-physician

$4.4M

59K claims · 1.8%

Your Cost: $73.31/claim|Median: $96.18
0.8× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$2.2M

22K claims · 0.9%

Your Cost: $98.54/claim|Median: $74.63
1.3× median
H0034Normal range

Medication training and management, per 15 min

$374K

15K claims · 0.2%

Your Cost: $25.34/claim|Median: $56.90
0.5× median
H2035Normal range

Alcohol and/or drug treatment, per hour

$27K

325 claims · 0.0%

Your Cost: $82.13/claim|Median: $94.63
0.9× median
H0005Normal range

Alcohol and/or drug services, group counseling

$7K

513 claims · 0.0%

Your Cost: $14.15/claim|Median: $47.35
0.3× median
99999Normal range

$0

123 claims · 0.0%

Your Cost: $0.00/claim|Median: $348.86
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$0

18 claims · 0.0%

Your Cost: $0.00/claim|Median: $53.41