Medicaid Provider Spending

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

MAISON HOME CARE LLC

NPI: 1154880672 · CUYAHOGA FALLS, OH 44221 · In Home Supportive Care Agency · NPI assigned 03/14/2019

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

100% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

$3.65M
Total Medicaid Paid
48,321
Total Claims
4,150
Beneficiaries
2
Codes Billed
2020-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialEDMUNDS, SAMUEL (OWNER)
NPI Enumeration Date03/14/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 637 $41K
2021 4,634 $341K
2022 10,832 $803K
2023 13,414 $216K
2024 18,804 $2.25M

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) 47,775 3,611 $3.63M
T1001 Nursing assessment / evaluation 546 539 $17K