Medicaid Provider Spending

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

YOUR CHOICE OF HOME CARE LLC

NPI: 1235777228 · WARWICK, RI 02888 · Home Health Registered Nurse · NPI assigned 12/20/2019

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

97% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.

$54.66M
Total Medicaid Paid
368,432
Total Claims
17,630
Beneficiaries
3
Codes Billed
2020-04
First Month
2024-05
Last Month

Provider Details

Authorized OfficialPINTO DE DURAN, EVELYN (OWNER)
NPI Enumeration Date12/20/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 29,014 $3.16M
2021 56,891 $9.47M
2022 88,514 $13.72M
2023 131,954 $20.59M
2024 62,059 $7.73M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 348,212 13,105 $53.26M
S5130 Homemaker service, nos; per 15 minutes 16,355 1,444 $1.05M
T1001 Nursing assessment / evaluation 3,865 3,081 $357K