Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Mason County Action Group INC

Mason County Action Group INC was paid $1.54M by Medicaid between Jan 2018 and Feb 2024, across 2 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 99% of everything it billed.

33Billing provider infoMASON COUNTY ACTION GROUP INC
PT PLEASANT, WV 25550
33aNPI1114326824assigned 08/19/2014
33bProvider typeHome Health Agency
28Total paid$1.54M
24GClaims8,684
24DCodes billed2
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers

Next to other Home Health Agency providers in West Virginia

Rank by total paid#35 of 75
Median peer was paid$1.10M
This provider vs. median1.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration99% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018677$288K
2019635$290K
2020514$280K
20212,873$282K
20223,479$345K
2023494$57K
2024incomplete12$138.72
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1019 Help at home with bathing, dressing and eating, billed per 15 minutesPersonal 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) 99% 7,157 1,267 $1.52M
T1002 Rn services, up to 15 minutes 1.3% 1,527 1,296 $20K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialNIBERT, BONNIE (FISCAL OFFICER)
Same official

Other billing entities under NIBERT, BONNIE

Full network →
ProviderLocationPaid
Mason County Action Group INC.Pt Pleasant, WV$308K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.