Medicaid Provider Spending

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

BY THE BAY HEALTH

NPI: 1215987532 · SAN FRANCISCO, CA 94102 · Community Based Hospice Care Agency · NPI assigned 05/10/2006

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

100% of spending on code T2025 with only 3 total codes billed. Highly concentrated billing profile.

$2.36M
Total Medicaid Paid
995
Total Claims
940
Beneficiaries
3
Codes Billed
2018-09
First Month
2024-07
Last Month

Provider Details

Authorized OfficialKELLY, JAMES (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date05/10/2006

Related Entities

Other providers sharing the same authorized official: KELLY, JAMES

ProviderCityStateTotal Paid
BY THE BAY HEALTH LARKSPUR CA $24.13M
JAMES E. KELLY M.D. LLC SAINT LOUIS MO $413K
INCARE HOME CARE, LLC LARKSPUR CA $98K
CARING CORPORATION INC TROY AL $20K
WESTERN ARKANSAS PLASTIC & RECONSTRUCTIVE SURGERY CENTER FORT SMITH AR $12K
DR JAMES R KELLY M D P C NEW YORK NY $6K
RADNOR FIRE COMPANY OF WAYNE WAYNE PA $3K
INCARE HOME CARE, LLC SONOMA CA $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 72 $19K
2019 258 $314K
2020 262 $747K
2021 194 $611K
2022 109 $346K
2023 88 $282K
2024 12 $38K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2025 Waiver services; not otherwise specified (nos) 897 890 $2.35M
T2022 Case management, per month 36 36 $8K
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 62 14 $0.00