Medicaid Provider Spending

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

SUNSET PERSONAL CARE SERVICES

NPI: 1326245119 · BATON ROUGE, LA 70802 · Personal Care Attendant · NPI assigned 06/27/2007

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

100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.

$2.57M
Total Medicaid Paid
39,824
Total Claims
1,780
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialDUNBAR, MERCEDES (OWNER)
NPI Enumeration Date06/27/2007

Related Entities

Other providers sharing the same authorized official: DUNBAR, MERCEDES

ProviderCityStateTotal Paid
SUNSET PERSONAL CARE SERVICES BATON ROUGE LA $989K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,878 $302K
2019 6,688 $459K
2020 6,919 $377K
2021 8,129 $454K
2022 6,496 $472K
2023 4,054 $349K
2024 1,660 $161K

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) 39,824 1,780 $2.57M