Living Innovations Support Services LLC
Day Training Developmentally Disabled Services
Dover, New Hampshire
NPI: 1932749512
Risk Tier
Critical
Total Paid
$129.3M
$129,273,293
Total Claims
224K
Beneficiaries
41K
Avg Cost/Claim
$576.46
Active billing period: 57 months (2020-04 to 2024-12)
Statistical Fraud Flags (3)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $919.89 per claim for S5140 (Foster care, adult; per diem), which is 3.6× the national median of $252.32.
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $2.9M (2020) to $19.8M (2021) — a 586% swing with $16.9M absolute change.
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 586% from 2020 to 2021.
Advanced Detection Signals
CUSUM Change Point
Billing shifted 3.1x in 2021-11 — a statistically significant structural change in billing behavior was detected.
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