Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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LOLA'S NEW BEGINNINGS

NPI: 1205467172 · MILWAUKEE, WI 53220 · Case Management Registered Nurse · NPI assigned 01/30/2020

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

98% of spending on code T1016 with only 3 total codes billed. Highly concentrated billing profile.

$2.09M
Total Medicaid Paid
32,571
Total Claims
7,262
Beneficiaries
3
Codes Billed
2020-04
First Month
2022-06
Last Month

Provider Details

Authorized OfficialSOTO, STEPHANIE (OWNER)
NPI Enumeration Date01/30/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 7,706 $374K
2021 15,542 $1.04M
2022 9,323 $682K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1016 Case management, each 15 minutes 31,362 6,126 $2.04M
H1002 Prenatal care, at risk enhanced service; care coordination 605 571 $27K
H1000 Prenatal care, at-risk assessment 604 565 $23K