Systems Unlimited Inc.
Day Training Developmentally Disabled Services
Iowa City, Iowa
NPI: 1740339381
Risk Tier
High
Total Paid
$244.8M
$244,753,416
Total Claims
161K
Beneficiaries
45K
Avg Cost/Claim
$1,516.41
Active billing period: 82 months (2018-01 to 2024-11)
Statistical Fraud Flags (2)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $4,610.55 per claim for S5136 (Companion care, adult, per 15 minutes), which is 15.2× the national median of $302.34.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 4 procedure codes: H2016 at 20.3× median, H2025 at 7.7× 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