Medicaid Provider Spending

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

MD ENTERPRISES LLC

NPI: 1053715425 · HAZLETON, PA 18201 · In Home Supportive Care Agency · NPI assigned 10/14/2014

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.

$9.28M
Total Medicaid Paid
62,826
Total Claims
3,209
Beneficiaries
1
Codes Billed
2020-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDUNCAN, STEPHEN (BILLING ADMINISTRATOR)
NPI Enumeration Date10/14/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 63 $8K
2021 15,845 $2.10M
2022 13,833 $2.01M
2023 17,058 $2.71M
2024 16,027 $2.44M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
W1793 State-specific procedure code 62,826 3,209 $9.28M