Medicaid Provider Spending

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

TRUSTED NURSE STAFFING

NPI: 1073992251 · BUFFALO, NY 14202 · Nursing Care Agency · NPI assigned 05/21/2015

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

100% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official THOMAS, WILLIAM controls 14+ related entities in our dataset. Read more

$85.30M
Total Medicaid Paid
577,939
Total Claims
35,227
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTHOMAS, WILLIAM (SENIOR ACCOUNT MANAGER)
NPI Enumeration Date05/21/2015

Related Entities

Other providers sharing the same authorized official: THOMAS, WILLIAM

ProviderCityStateTotal Paid
KPC GLOBAL MEDICAL CENTERS, INC. HEMET CA $29.34M
VICTOR VALLEY HOSPITAL ACQUISITION, INC. VICTORVILLE CA $26.63M
KPC GLOBAL MEDICAL CENTERS, INC. SUN CITY CA $8.91M
ORANGE COUNTY GLOBAL MEDICAL CENTER, INC SANTA ANA CA $8.60M
PEDIATRIC AND ADOLESCENT DENTISTRY, LLC BIRMINGHAM AL $5.29M
SOUTH COAST GLOBAL MEDICAL CENTER, INC SANTA ANA CA $4.53M
ANAHEIM GLOBAL MEDICAL CENTER, INC ANAHEIM CA $4.29M
SOUTH COAST GLOBAL MEDICAL CENTER, INC SANTA ANA CA $3.98M
CHAPMAN GLOBAL MEDICAL CENTER, INC ORANGE CA $2.92M
CHAPMAN GLOBAL MEDICAL CENTER, INC ORANGE CA $761K
NEW CREEK FAMILY MEDICINE PLLC KEYSER WV $580K
DELAWARE NEUROLOGY ASSOCIATES,PA LEWES DE $75K
ANAHEIM GLOBAL MEDICAL CENTER, INC ANAHEIM CA $20K
ORANGE COUNTY GLOBAL MEDICAL CENTER, INC SANTA ANA CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 16,313 $2.33M
2019 57,762 $8.72M
2020 85,789 $10.75M
2021 91,184 $11.76M
2022 99,722 $14.39M
2023 113,508 $18.28M
2024 113,661 $19.07M

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) 576,774 35,013 $85.17M
S5125 Attendant care services; per 15 minutes 1,022 71 $106K
99199 Unlisted special service, procedure or report 143 143 $28K