Medicaid Provider Spending

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

MCDOWELL COUNTY COMMISSION ON AGING

NPI: 1316166432 · WELCH, WV 24801 · Community Health Clinic/Center · NPI assigned 04/25/2007

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

98% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.

$2.45M
Total Medicaid Paid
15,035
Total Claims
6,390
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialYEAGER, EMILY (EXECUTIVE DIRECTOR)
NPI Enumeration Date04/25/2007

Related Entities

Other providers sharing the same authorized official: YEAGER, EMILY

ProviderCityStateTotal Paid
MCDOWELL COUNTY COMMISSION ON AGING WELCH WV $117K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,173 $398K
2019 1,062 $418K
2020 1,178 $493K
2021 1,752 $519K
2022 8,246 $541K
2023 1,216 $73K
2024 408 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1019 Personal 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) 11,382 2,771 $2.40M
T1002 Rn services, up to 15 minutes 3,641 3,607 $52K
T1001 Nursing assessment / evaluation 12 12 $1K