Medicaid Provider Spending

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

PRIORITY MEDICAL CARE INC.

NPI: 1164624953 · LAFAYETTE, LA 70503 · Home Health Agency · NPI assigned 06/04/2007

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

100% of spending on code S5125 with only 1 total codes billed. Highly concentrated billing profile.

$6.17M
Total Medicaid Paid
50,178
Total Claims
1,748
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFUSILIER, TONI (CEO)
NPI Enumeration Date06/04/2007

Related Entities

Other providers sharing the same authorized official: FUSILIER, TONI

ProviderCityStateTotal Paid
PRIORITY MEDICAL CARE INC LAFAYETTE LA $4.91M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 6,409 $619K
2019 7,362 $815K
2020 6,854 $685K
2021 6,839 $784K
2022 7,263 $1.04M
2023 8,012 $1.15M
2024 7,439 $1.08M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 50,178 1,748 $6.17M