Medicaid Provider Spending

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

SERNA, CARLOS

NPI: 1063710317 · LEXINGTON, KY 40508 · Case Manager/Care Coordinator · NPI assigned 03/10/2011

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

100% of spending on code T2022 with only 1 total codes billed. Highly concentrated billing profile.

$4.29M
Total Medicaid Paid
11,604
Total Claims
11,512
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,479 $490K
2019 1,530 $535K
2020 1,502 $523K
2021 1,508 $528K
2022 1,928 $726K
2023 2,039 $812K
2024 1,618 $676K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2022 Case management, per month 11,604 11,512 $4.29M