South Dakota Achieve
Clinic/Center Developmental Disabilities
Sioux Falls, South Dakota
NPI: 1376675785
Risk Tier
High
Total Paid
$166.9M
$166,942,970
Total Claims
419K
Beneficiaries
185K
Avg Cost/Claim
$398.43
Active billing period: 79 months (2018-01 to 2024-11)
Statistical Fraud Flags (2)
High Cost Per Claim
Average payment per claim is much higher than peers billing the same procedures.
Spending Spike
Experienced a dramatic increase in billing over a short period.
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