Medicaid Provider Spending

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

GENESIS HEALTHCARE, INC.

NPI: 1275681918 · LOUISBURG, NC 27549 · Home Health Agency · NPI assigned 01/08/2007

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

100% of spending on code S5125 with only 1 total codes billed. Highly concentrated billing profile.

$5.54M
Total Medicaid Paid
56,076
Total Claims
1,827
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNEWELL, JOHN (CEO)
NPI Enumeration Date01/08/2007

Related Entities

Other providers sharing the same authorized official: NEWELL, JOHN

ProviderCityStateTotal Paid
GENESIS HEALTH CARE, INC. LOUISBURG NC $3.24M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,325 $568K
2019 8,734 $617K
2020 7,831 $771K
2021 7,941 $811K
2022 6,996 $851K
2023 8,723 $945K
2024 7,526 $978K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 56,076 1,827 $5.54M