Medicaid Provider Spending

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

NPI: 1184100240 · MILWAUKEE, WI 53225 · Case Management Agency · NPI assigned 07/12/2018

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

100% of spending on code T1016 with only 3 total codes billed. Highly concentrated billing profile.

$1.91M
Total Medicaid Paid
24,697
Total Claims
4,596
Beneficiaries
3
Codes Billed
2018-12
First Month
2021-10
Last Month

Provider Details

Authorized OfficialFERGUSON-CALLAHAN, DETRA (OWNER)
NPI Enumeration Date07/12/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 68 $4K
2019 5,636 $395K
2020 8,600 $658K
2021 10,393 $852K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1016 Case management, each 15 minutes 24,663 4,562 $1.91M
H1002 Prenatal care, at risk enhanced service; care coordination 17 17 $829.43
H1000 Prenatal care, at-risk assessment 17 17 $686.80