Centerstone of Indiana, Inc.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 8 procedure codes: T2022 at 4.1× median, 99335 at 4.4× 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 $821.36 per claim for T2022 (Case management, per month) — 4.0× the national median of $202.77.
Bills $65.50 per claim for 99335 — 4.4× the national median of $14.90.
Bills $54.25 per claim for 99348 — 3.2× the national median of $17.17.
Billing above the 90th percentile for 5 procedure codes simultaneously.
This is a statistical summary, not an accusation. See our methodology.
Compared to Community/Behavioral Health Peers
Total spending distribution among 218 providers in this specialty
This provider's total spending of $318.9M is at the 90th percentile among 218 Community/Behavioral Health providers.
Above 90th percentile for this specialty — higher spending than 196 of 218 peers
Total Paid
$318.9M
$318,861,368
Total Claims
3.6M
Beneficiaries
1.4M
2.5 claims/patient
Avg Cost/Claim
$88
#224 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Centerstone of Indiana, Inc. is a Community/Behavioral Health provider based in Bloomington, IN. From the 2018–2024 period, this provider received $318.9M in Medicaid payments across 3.6M claims.
Why This Matters
This provider received $318.9M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 39,857 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 64% of total spending.
$203.9M
1.8M claims
$116.16
$83.88
Skills training & development, per 15 min
$203.9M
1.8M claims · 64.0%
$36.1M
95K claims
$379.22
$369.55
Alcohol and/or drug services, sub-acute detoxification, per diem
$36.1M
95K claims · 11.3%
Case management, each 15 min
$25.6M
755K claims · 8.0%
Psychotherapy, 60 minutes
$16.9M
232K claims · 5.3%
Psychotherapy, 45 minutes
$7.1M
163K claims · 2.2%
$5.7M
63K claims
$90.89
$74.63
Behavioral health counseling & therapy, per 15 min
$5.7M
63K claims · 1.8%
$4.3M
84K claims
$50.81
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$4.3M
84K claims · 1.3%
$4.2M
55K claims
$76.01
$99.21
Psychiatric diagnostic evaluation
$4.2M
55K claims · 1.3%
Psychotherapy, 30 minutes
$3.5M
98K claims · 1.1%
$3.2M
40K claims
$79.78
$96.18
Mental health assessment by non-physician
$3.2M
40K claims · 1.0%
$1.8M
49K claims
$36.49
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$1.8M
49K claims · 0.6%
$1.2M
8K claims
$157.93
$129.75
Alcohol and/or drug abuse, intensive outpatient, per hour
$1.2M
8K claims · 0.4%
Group psychotherapy
$1.2M
80K claims · 0.4%
$816K
37K claims
$21.83
$56.90
Medication training and management, per 15 min
$816K
37K claims · 0.3%
$485K
9K claims
$52.87
$77.33
Family psychotherapy with patient, 50 min
$485K
9K claims · 0.2%
Case management, per month
$473K
576 claims · 0.1%
$399K
15K claims
$27.16
$55.04
Self-help/peer services, per 15 minutes
$399K
15K claims · 0.1%
$307K
20K claims
$15.31
$15.37
Telehealth originating site facility fee
$307K
20K claims · 0.1%
$259K
5K claims
$50.90
$76.61
Family psychotherapy without patient, 50 min
$259K
5K claims · 0.1%
$256K
30K claims
$8.49
$9.56
Therapeutic injection, subcutaneous/intramuscular
$256K
30K claims · 0.1%
$235K
4K claims · 0.1%
$210K
4K claims · 0.1%
$148K
3K claims
$57.74
$84.03
Office/outpatient visit, new patient, mod-high complexity
$148K
3K claims · 0.0%
$132K
3K claims
$39.59
$38.83
Psychotherapy, 30 min, add-on to E/M service
$132K
3K claims · 0.0%
$88K
1K claims
$77.59
$74.09
Office/outpatient visit, high complexity
$88K
1K claims · 0.0%
$69K
690 claims · 0.0%
$41K
375 claims · 0.0%
$41K
562 claims
$72.60
$215.80
Crisis intervention service, per 15 minutes
$41K
562 claims · 0.0%
$40K
469 claims · 0.0%
$34K
546 claims
$61.75
$83.98
Psychotherapy for crisis, first 60 min
$34K
546 claims · 0.0%
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