Rem Community Options Inc.
Community/Behavioral Health
Benwood, West Virginia
NPI: 1699896316
Risk Tier
High
Total Paid
$224.9M
$224,864,470
Total Claims
213K
Beneficiaries
162K
Avg Cost/Claim
$1,054.32
Active billing period: 83 months (2018-01 to 2024-11)
Statistical Fraud Flags (2)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $3,739.07 per claim for S5125 (Attendant care services, per 15 min), which is 45.4× the national median of $82.34.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 7 procedure codes: S5125 at 45.4× median, T1002 at 8.1× median.
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