Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

1 Above the Rest

1 Above the Rest was paid $1.35M by Medicaid between Jan 2021 and Aug 2023, across 2 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 95% of everything it billed.

33Billing provider info1 ABOVE THE REST
WHEAT RIDGE, CO 80033
33aNPI1184198095assigned 01/14/2019
33bProvider typeHome Health Agency
28Total paid$1.35M
24GClaims1,726
24DCodes billed2
24AFirst – last monthJan 2021 – Aug 2023
Compared with peers

Next to other Home Health Agency providers in Colorado

Rank by total paid#151 of 252
Median peer was paid$2.29M
This provider vs. median0.6×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration95% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2021917$656K
2022524$471K
2023285$227K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1019 Help at home with bathing, dressing and eating, billed per 15 minutesPersonal 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) 95% 1,550 916 $1.29M
S5130 Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes 4.7% 176 123 $63K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialGERMAN, OLGA (OWNER)