Medicaid Provider Spending

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

AMERICAN HEALTH MANAGEMENT, INC.

NPI: 1013056217 · MCKEE, KY 40447 · Case Management Agency · NPI assigned 02/05/2007

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

97% of spending on code S5100 with only 3 total codes billed. Highly concentrated billing profile.

$1.81M
Total Medicaid Paid
30,732
Total Claims
2,176
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialUPCHURCH, KELLY (PRESIDENT & CEO)
NPI Enumeration Date02/05/2007

Related Entities

Other providers sharing the same authorized official: UPCHURCH, KELLY

ProviderCityStateTotal Paid
AMERICAN HEALTH MANAGEMENT, INC. RICHMOND KY $99.38M
HORIZON ADULT HEALTH CARE LLC HARLAN KY $3.80M
AMERICAN HEALTH MANAGEMENT, INC. WHITLEY CITY KY $3.58M
HORIZON ADULT HEALTH CARE LLC MONTICELLO KY $3.05M
AMERICAN HEALTH MANAGEMENT, INC. IRVINE KY $2.94M
HORIZON ADULT HEALTH CARE LLC ALBANY KY $2.78M
HORIZON ADULT HEALTH CARE LLC PINEVILLE KY $2.34M
AMERICAN HEALTH MANAGEMENT, INC MT. VERNON KY $2.10M
AMERICAN HEALTH MANAGEMENT, INC. WILLIAMSBURG KY $2.05M
AMERICAN HEALTH MANAGEMENT, INC. MANCHESTER KY $599K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,242 $412K
2019 5,579 $351K
2020 5,530 $164K
2021 1,772 $110K
2022 3,185 $203K
2023 3,259 $233K
2024 4,165 $338K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5100 Day care services, adult; per 15 minutes 26,720 1,955 $1.75M
S5170 Home delivered meals, including preparation; per meal 3,481 173 $48K
T1005 Respite care services, up to 15 minutes 531 48 $15K