Medicaid Provider Spending

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

QUALITY CARE PROVIDERS LLC

NPI: 1093177792 · WORCESTER, MA 01603 · Home Health Agency · NPI assigned 03/22/2016

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

100% of spending on code H0043 with only 1 total codes billed. Highly concentrated billing profile.

$5.97M
Total Medicaid Paid
128,082
Total Claims
5,265
Beneficiaries
1
Codes Billed
2018-01
First Month
2023-03
Last Month

Provider Details

Authorized OfficialPEREZ, EDGAR (OWNER)
NPI Enumeration Date03/22/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,193 $938K
2019 31,290 $1.26M
2020 34,893 $1.40M
2021 30,029 $1.26M
2022 22,245 $968K
2023 3,432 $148K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0043 Supported housing, per diem 128,082 5,265 $5.97M