Bowen Health INC
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 2 procedure codes: Q3014 at 2.4× median, T2022 at 3.5× median.
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:
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 $700.99 per claim for T2022 (Case management, per month) — 3.5× the national median of $202.77.
Billing above the 90th percentile for 2 procedure codes simultaneously.
This is a statistical summary, not an accusation. See our methodology.
Total Paid
$509.3M
$509,260,010
Total Claims
4.9M
Beneficiaries
1.8M
2.7 claims/patient
Avg Cost/Claim
$105
#118 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Bowen Health INC is a Psychiatric Hospital provider based in Warsaw, IN. From the 2018–2024 period, this provider received $509.3M in Medicaid payments across 4.9M claims.
Why This Matters
This provider received $509.3M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 63,657 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 30 distinct procedure codes. The top code (H2014 (Skills training & development, per 15 min)) accounts for 70% of total spending.
$355.4M
2.2M claims
$159.31
$83.88
Skills training & development, per 15 min
$355.4M
2.2M claims · 69.8%
Psychotherapy, 45 minutes
$57.1M
753K claims · 11.2%
Case management, each 15 min
$19.9M
659K claims · 3.9%
Psychotherapy, 30 minutes
$17.3M
263K claims · 3.4%
$16.9M
219K claims
$77.37
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$16.9M
219K claims · 3.3%
$10.7M
119K claims
$90.04
$99.21
Psychiatric diagnostic evaluation
$10.7M
119K claims · 2.1%
$8.8M
150K claims
$58.54
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$8.8M
150K claims · 1.7%
Group psychotherapy
$4.8M
152K claims · 0.9%
Psychotherapy, 60 minutes
$4.2M
52K claims · 0.8%
$4.0M
72K claims
$55.97
$77.33
Family psychotherapy with patient, 50 min
$4.0M
72K claims · 0.8%
$4.0M
45K claims
$89.80
$108.91
Psychiatric diagnostic evaluation with medical services
$4.0M
45K claims · 0.8%
$2.6M
45K claims
$56.83
$96.18
Mental health assessment by non-physician
$2.6M
45K claims · 0.5%
$667K
18K claims
$36.77
$15.37
Telehealth originating site facility fee
$667K
18K claims · 0.1%
$629K
12K claims
$52.60
$76.61
Family psychotherapy without patient, 50 min
$629K
12K claims · 0.1%
Case management, per month
$397K
567 claims · 0.1%
Hospital outpatient clinic visit
$355K
29K claims · 0.1%
$308K
3K claims
$114.73
$215.80
Crisis intervention service, per 15 minutes
$308K
3K claims · 0.1%
$306K
3K claims
$104.05
$67.32
Initial hospital care, per day, high complexity
$306K
3K claims · 0.1%
$153K
13K claims
$11.50
$9.56
Therapeutic injection, subcutaneous/intramuscular
$153K
13K claims · 0.0%
$144K
4K claims
$37.05
$23.99
Subsequent hospital care, per day, moderate complexity
$144K
4K claims · 0.0%
$115K
3K claims
$36.81
$37.22
Hospital discharge day management, 30 minutes or less
$115K
3K claims · 0.0%
$104K
2K claims
$47.02
$56.90
Medication training and management, per 15 min
$104K
2K claims · 0.0%
$94K
5K claims
$18.83
$16.77
Subsequent hospital care, per day, low complexity
$94K
5K claims · 0.0%
Office/outpatient visit, low complexity
$80K
2K claims · 0.0%
$31K
522 claims
$58.53
$111.09
Office/outpatient visit, new patient, high complexity
$31K
522 claims · 0.0%
$23K
1K claims
$20.95
$74.63
Behavioral health counseling & therapy, per 15 min
$23K
1K claims · 0.0%
$20K
1K claims
$17.97
$55.04
Self-help/peer services, per 15 minutes
$20K
1K claims · 0.0%
$11K
136 claims
$81.63
$84.03
Office/outpatient visit, new patient, mod-high complexity
$11K
136 claims · 0.0%
$10K
377 claims
$26.30
$94.63
Alcohol and/or drug treatment, per hour
$10K
377 claims · 0.0%
$9K
93 claims
$92.16
$74.09
Office/outpatient visit, high complexity
$9K
93 claims · 0.0%
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