Medicaid Provider Spending

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

NPI: 1316711195 · PROVIDENCE, RI 02904 · Home Health Agency · NPI assigned 11/13/2023

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

93% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.

$1.85M
Total Medicaid Paid
13,319
Total Claims
1,057
Beneficiaries
3
Codes Billed
2024-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGARCIA, KILVIA (PRESIDENT)
NPI Enumeration Date11/13/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 13,319 $1.85M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 12,090 507 $1.73M
S5130 Homemaker service, nos; per 15 minutes 768 119 $66K
T1001 Nursing assessment / evaluation 461 431 $56K