Medicaid Provider Spending

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

IDEAL NURSING SERVICES INC

NPI: 1154484251 · WASHINGTON, DC 20011 · Respite Care · NPI assigned 12/19/2006

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.

$58.25M
Total Medicaid Paid
471,313
Total Claims
24,332
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGRANT GORDON, CAROL (PRESIDENT ADMINISTRATOR)
NPI Enumeration Date12/19/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 106,728 $13.25M
2019 86,853 $10.00M
2020 69,362 $8.82M
2021 69,348 $7.42M
2022 52,272 $6.77M
2023 42,329 $6.34M
2024 44,421 $5.64M

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) 457,053 13,684 $56.88M
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 13,348 10,419 $1.36M
G0156 Services of home health/hospice aide in home health or hospice settings, each 15 minutes 912 229 $0.00