Medicaid Provider Spending

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

LINCOLN COUNTY OPPORTUNITY COMPANY, INC.

NPI: 1134347628 · HAMLIN, WV 25523 · Voluntary or Charitable Agency · NPI assigned 04/23/2007

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

98% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.

$7.37M
Total Medicaid Paid
59,077
Total Claims
15,852
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCARPENTER, WILLIAM (DEPUTY EXECUTIVE DIRECTOR)
NPI Enumeration Date04/23/2007

Related Entities

Other providers sharing the same authorized official: CARPENTER, WILLIAM

ProviderCityStateTotal Paid
LINCOLN COUNTY OPPORTUNITY COMPANY, INC. HAMLIN WV $4.91M
LINCOLN COUNTY OPPORTUNITY COMPANY, INC. HAMLIN WV $476K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,826 $1.29M
2019 2,773 $1.28M
2020 2,965 $1.46M
2021 20,490 $1.50M
2022 20,185 $1.31M
2023 5,495 $295K
2024 4,343 $235K

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) 49,800 6,724 $7.21M
T1002 Rn services, up to 15 minutes 8,943 8,795 $120K
T1001 Nursing assessment / evaluation 334 333 $39K