Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PERSONAL QUALITY CARE, INC.

NPI: 1205059938 · OOLITIC, IN 47451 · Developmentally Disabled Services Day Training Agency · NPI assigned 04/11/2007

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

95% of spending on code T2016 with only 3 total codes billed. Highly concentrated billing profile.

$4.46M
Total Medicaid Paid
1,371
Total Claims
1,297
Beneficiaries
3
Codes Billed
2018-01
First Month
2021-11
Last Month

Provider Details

Authorized OfficialMILLER, KRISTY (OWNERDIRECTOR)
NPI Enumeration Date04/11/2007

Related Entities

Other providers sharing the same authorized official: MILLER, KRISTY

ProviderCityStateTotal Paid
KID PHYSICAL LLC CENTENNIAL CO $56K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 394 $1.22M
2019 390 $1.20M
2020 344 $1.15M
2021 243 $883K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2016 Habilitation, residential, waiver; per diem 1,181 1,110 $4.25M
S5151 Unskilled respite care, not hospice; per diem 100 99 $112K
T2020 Day habilitation, waiver; per diem 90 88 $98K