Medicaid Provider Spending

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

HAVEN'S GATEWAY PERSONAL CARE FACILITY, INC

NPI: 1215196811 · BATON ROUGE, LA 70806 · Home Health Agency · NPI assigned 06/09/2008

Billing Flags · Automated signals — not evidence of fraud
High Claims/Beneficiary Ratio

55 claims per beneficiary (threshold: 50). This could indicate intensive per-unit billing or warrant further review. Read more

Single-Code Concentration

100% of spending on code S5125 with only 1 total codes billed. Highly concentrated billing profile.

$4.81M
Total Medicaid Paid
32,447
Total Claims
593
Beneficiaries
1
Codes Billed
2018-01
First Month
2021-07
Last Month

Provider Details

Authorized OfficialJACKSON, ALFREDA (PRESIDENT/C.E.O.)
NPI Enumeration Date06/09/2008

Related Entities

Other providers sharing the same authorized official: JACKSON, ALFREDA

ProviderCityStateTotal Paid
HAVEN'S GATEWAY PERSONAL CARE FACILITY, INC BATON ROUGE LA $41K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,362 $1.33M
2019 8,678 $1.34M
2020 8,411 $1.35M
2021 4,996 $790K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 32,447 593 $4.81M