Medicaid Provider Spending

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

NPI: 1255791349 · NORTHBOROUGH, MA 01532 · Home Health Agency · NPI assigned 03/02/2016

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

100% of spending on code S5140 with only 2 total codes billed. Highly concentrated billing profile.

$70.72M
Total Medicaid Paid
436,429
Total Claims
33,062
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPATEL, DAXA (PRESIDNET)
NPI Enumeration Date03/02/2016

Related Entities

Other providers sharing the same authorized official: PATEL, DAXA

ProviderCityStateTotal Paid
AMERICAN ADULT DAYCARE OF MIDDLESEX INC CHELMSFORD MA $10.13M
AMERICAN HEALTHCARE GAFC, LLC WESTBOROUGH MA $185K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 29,055 $3.04M
2019 51,454 $5.61M
2020 36,017 $6.79M
2021 18,493 $7.73M
2022 106,077 $9.75M
2023 111,066 $14.91M
2024 84,267 $22.90M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5140 Foster care, adult; per diem 435,416 32,104 $70.47M
T1028 Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs 1,013 958 $255K