Medicaid Provider Spending

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

ALLURE IN-HOME HEALTH SERVICES, LLC

NPI: 1174114227 · WELDON SPRING, MO 63304 · Home Health Agency · NPI assigned 02/01/2021

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

92% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

$1.28M
Total Medicaid Paid
2,693
Total Claims
813
Beneficiaries
2
Codes Billed
2022-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIMMS, LARRY (DIRECTOR)
NPI Enumeration Date02/01/2021

Related Entities

Other providers sharing the same authorized official: SIMMS, LARRY

ProviderCityStateTotal Paid
ALLURE CDS,LLC ST. CHARLES MO $1.20M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 425 $222K
2023 776 $421K
2024 1,492 $634K

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) 2,282 689 $1.17M
S5130 Homemaker service, nos; per 15 minutes 411 124 $108K