Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Rathburn Healthcare LLC

Rathburn Healthcare LLC was paid $19.10M by Medicaid between May 2023 and Dec 2024, across 3 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 95% of everything it billed.

33Billing provider infoRATHBURN HEALTHCARE LLC
SALT LAKE CITY, UT 84115
33aNPI1255923827assigned 02/05/2021
33bProvider typeHome Health Agency
28Total paid$19.10M
24GClaims41,763
24DCodes billed3
24AFirst – last monthMay 2023 – Dec 2024
Compared with peers

Next to other Home Health Agency providers in Utah

Rank by total paid#4 of 58
Median peer was paid$166K
This provider vs. median115×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration95% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
202313,434$5.79M
2024incomplete28,329$13.31M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1019 Help at home with bathing, dressing and eating, billed per 15 minutesPersonal 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) 95% 40,690 1,928 $18.20M
T1001 Nursing assessment / evaluation 4.5% 1,030 1,030 $867K
T1003 Lpn/lvn services, up to 15 minutes <1% 43 12 $32K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialWHATCOTT, KEVIN (CEO)
Same official

Other billing entities under WHATCOTT, KEVIN

Full network →
ProviderLocationPaid
Acorn Care LLCSalt Lake City, UT$28.22M
Advocates for Independence LLCSalt Lake City, UT$5.85M
Acorn Care LLCFerron, UT$4.67M
Acorn Care LLCBlanding, UT$1.25M
Acorn Care LLCMoab, UT$2K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.