Medicaid Provider Spending

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

MCCAIN, TANDRA

NPI: 1184879520 · FLORISSANT, MO 63033 · Social Worker · NPI assigned 11/26/2008

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

100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.

$5.70M
Total Medicaid Paid
92,565
Total Claims
3,683
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 11,982 $900K

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) 92,565 3,683 $5.70M