Advantage Behavioral Services, Inc.
Instant Volume
New provider billing over $1M in their first year of Medicaid participation.
Billed $6.7M in first year (2021).
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
▼
Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Instant Volume
Instant Volume means this provider billed over $1 million in their very first year of Medicaid participation. New providers typically ramp up gradually, so immediate high-volume billing can be a red flag.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Compared to Case Management Peers
Total spending distribution among 137 providers in this specialty
This provider's total spending of $36.8M is at the 25th percentile among 137 Case Management providers.
Total Paid
$36.8M
$36,772,323
Total Claims
387K
Beneficiaries
31K
12.5 claims/patient
Avg Cost/Claim
$95
🔍 Analysis
Provider Overview
Advantage Behavioral Services, Inc. is a Case Management provider based in San Antonio, TX. From the 2018–2024 period, this provider received $36.8M in Medicaid payments across 387K claims.
Important Context
- ℹ️This provider appears to operate as a fiscal intermediary or management organization, processing payments on behalf of many individual caregivers. High aggregate billing is expected for this type of entity.
Why This Matters
At $36.8M in Medicaid payments, this provider represents significant public healthcare spending. Understanding where these dollars go helps ensure the program serves those who need it most.
Other Top Providers in Texas
View all →Similar Providers
Other top providers in Case Management