Medicaid Provider Spending

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

FOCUS CARE SOLUTIONS INC

NPI: 1255896429 · DENVER, CO 80224 · Case Manager/Care Coordinator · NPI assigned 02/01/2019

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

100% of spending on code T1017 with only 1 total codes billed. Highly concentrated billing profile.

$2.70M
Total Medicaid Paid
6,073
Total Claims
4,434
Beneficiaries
1
Codes Billed
2020-02
First Month
2024-02
Last Month

Provider Details

Authorized OfficialSCANGAS, PATRICIA (VP OPERATION)
NPI Enumeration Date02/01/2019

Related Entities

Other providers sharing the same authorized official: SCANGAS, PATRICIA

ProviderCityStateTotal Paid
FOCUS CARE SOLUTIONS INC WOBURN MA $1.38M
FOCUS CARE SOLUTIONS INC. DENVER CO $1.20M
FOCUS CARE SOLUTIONS INC DENVER CO $736K
FOCUS CARE SOLUTIONS INC DENVER CO $346K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 3,078 $905K
2021 2,052 $1.11M
2022 917 $693K
2024 26 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1017 Targeted case management, each 15 minutes 6,073 4,434 $2.70M