Medicaid Provider Spending

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

JONES HOME HEALTH CARE, INC.

NPI: 1053683110 · SAINT LOUIS, MO 63115 · In Home Supportive Care Agency · NPI assigned 02/06/2012

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

100% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official JONES, MICHAEL controls 15+ related entities in our dataset. Read more

$2.07M
Total Medicaid Paid
17,604
Total Claims
1,638
Beneficiaries
2
Codes Billed
2018-01
First Month
2021-04
Last Month

Provider Details

Authorized OfficialJONES, MICHAEL (CEO/PRESIDENT)
NPI Enumeration Date02/06/2012

Related Entities

Other providers sharing the same authorized official: JONES, MICHAEL

ProviderCityStateTotal Paid
MOLINA HEALTHCARE OF FLORIDA, INC. DORAL FL $9.46M
WEST 49TH STREET MEDICAL PRACTICE, PC NEW YORK NY $6.96M
JONES CENTER FOR WOMENS HEALTH PLLC FAYETTEVILLE NC $4.40M
TAR HEEL HUMAN SERVICES-MENTAL HEALTH DIVISION, INC. BEULAVILLE NC $350K
AXIS MEDICAL EQUIPMENT & SUPPLY, LLC FARMERS BRANCH TX $278K
M. THOMAS JONES GREENSBORO NC $168K
SWITZERLAND COUNTY SCHOOL CORPORATION VEVAY IN $168K
DENTAL ENTERPRISES KAYSVILLE UT $133K
ADVANCED PRIMARY CARE LLC MEMPHIS TN $107K
HIGHLANDS VOLUNTEER FIRE DEPARTMENT HIGHLANDS TX $53K
MICHAEL R. JONES, DDS, PA RUSSELL KS $32K
JONES DENTAL MANAGEMENT, LLC KAYSVILLE UT $24K
JONES WELLNESS & CARDIOVASCULAR NEW ORLEANS LA $22K
MICHAEL D. JONES, O.D., INC. LAS VEGAS NV $7K
EYE SURGERY CENTER, LLC BELLEVILLE IL $82.70

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,435 $883K
2019 3,165 $528K
2020 5,140 $491K
2021 2,864 $167K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1019 Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) 17,432 1,568 $2.06M
T1001 Nursing assessment / evaluation 172 70 $7K