Medicaid Provider Spending

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

FERNDALE INC

NPI: 1235250440 · ST JAMES, MO 65559 · Respite Care · NPI assigned 04/03/2007

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

98% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

$1.17M
Total Medicaid Paid
3,894
Total Claims
2,142
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGILBERT, RHONDA (HOUSE MANAGER)
NPI Enumeration Date04/03/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 504 $94K
2019 284 $80K
2020 610 $94K
2021 353 $113K
2022 1,190 $373K
2023 556 $207K
2024 397 $211K

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) 3,296 1,643 $1.15M
T1001 Nursing assessment / evaluation 598 499 $24K