Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COOL WATERS, LLC

NPI: 1003247925 · HARRISBURG, PA 17109 · Home Health Agency · NPI assigned 12/02/2013

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code W1793 with only 1 total codes billed. Highly concentrated billing profile.

$6.28M
Total Medicaid Paid
35,632
Total Claims
1,637
Beneficiaries
1
Codes Billed
2020-03
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMBAYA, ESTER (DIRECTOR OF OPERAATIONS AND FINANCE)
NPI Enumeration Date12/02/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,336 $218K
2021 8,105 $1.25M
2022 7,533 $1.22M
2023 10,314 $1.98M
2024 8,344 $1.61M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
W1793 State-specific procedure code 35,632 1,637 $6.28M