Mccain, Tandra

Mccain, Tandra was paid $5.70M by Medicaid between Jan 2018 and Dec 2024, across 1 billing code. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 100% of everything it billed.

33Billing provider infoMCCAIN, TANDRA
FLORISSANT, MO 63033

33aNPI1184879520assigned 11/26/2008

33bProvider typeSocial Worker

28Total paid$5.70M

24GClaims92,565

24DCodes billed1

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Social Worker providers in Missouri

Rank by total paid#1 of 63

Median peer was paid$10K

This provider vs. median558×

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 Concentration100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

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

Year	Claims	Paid
2018	17,673	$938K
2019	14,840	$817K
2020	12,867	$735K
2021	11,123	$646K
2022	11,464	$751K
2023	12,616	$909K
2024incomplete	11,982	$900K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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)	100%	92,565	3,683	$5.70M

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.