Medicaid Provider Spending

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

ADVANCE HOME CARE SERVICES, INC.

NPI: 1154561421 · SAINT LOUIS, MO 63114 · Home Health Agency · NPI assigned 02/26/2009

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.

$5.20M
Total Medicaid Paid
89,352
Total Claims
3,703
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHILTON, CASSANDRA (DIRECTOR OF NURSES/OWNER)
NPI Enumeration Date02/26/2009

Related Entities

Other providers sharing the same authorized official: HILTON, CASSANDRA

ProviderCityStateTotal Paid
ADVANCE IN HOME SERVICES INC. SAINT LOUIS MO $382K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26,863 $1.49M
2019 18,482 $1.00M
2020 12,931 $703K
2021 8,810 $490K
2022 8,582 $550K
2023 7,732 $550K
2024 5,952 $420K

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) 89,352 3,703 $5.20M