Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Claire-Frances Health Services

Claire-Frances Health Services was paid $1.42M by Medicaid between Jan 2018 and Nov 2022, across 11 billing codes. Its largest line is S9500, Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem — 54% of everything it billed.

33Billing provider infoCLAIRE-FRANCES HEALTH SERVICES
ASHLAND, KY 41101
33aNPI1013994391assigned 12/28/2005
28Total paid$1.42M
24GClaims31,681
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2022
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Kentucky

Rank by total paid#29 of 362
Median peer was paid$5K
This provider vs. median286×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20188,363$413K
20197,892$334K
20206,635$287K
20215,473$219K
20223,318$167K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S9500 Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 54% 5,491 890 $770K
A4223 Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) 31% 15,325 2,115 $438K
A4221 Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) 7.8% 7,400 3,012 $111K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 1.6% 586 194 $23K
A4222 Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) 1.6% 926 407 $23K
B4152 Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 1.3% 603 208 $19K
S9330 Home infusion therapy, continuous (twenty-four hours or more) chemotherapy infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 1.0% 135 51 $15K
E0781 Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient <1% 319 145 $13K
J9190 Injection, fluorouracil, 500 mg <1% 707 261 $5K
B9002 Enteral nutrition infusion pump, any type <1% 71 60 $3K
S9374 Home infusion therapy, hydration therapy; one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem <1% 118 12 $2K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialGILLUM, JUSTIN (EXECUTIVE DIRECTOR)
Same official

Other billing entities under GILLUM, JUSTIN

Full network →
ProviderLocationPaid
Claire-Frances Health ServicesCharleston, WV$577K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.