Medicaid Provider Spending

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

PRENTICE, ALICIA

NPI: 1073286126 · ST THOMAS, VI 00802 · Home Health Aide · NPI assigned 07/26/2021

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.

$3.87M
Total Medicaid Paid
3,919
Total Claims
947
Beneficiaries
2
Codes Billed
2022-01
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 1,515 $1.46M
2023 1,492 $1.77M
2024 912 $645K

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) 3,897 925 $3.87M
T1001 Nursing assessment / evaluation 22 22 $3K