Medicaid Provider Spending

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

NEWTON, CAROL

NPI: 1083128698 · HAZLEHURST, MS 39083 · Homemaker · NPI assigned 11/20/2017

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

100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.

$2.53M
Total Medicaid Paid
44,298
Total Claims
1,641
Beneficiaries
1
Codes Billed
2018-02
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,694 $170K
2019 3,306 $219K
2020 2,899 $205K
2021 2,501 $178K
2022 3,036 $263K
2023 11,002 $576K
2024 18,860 $917K

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) 44,298 1,641 $2.53M