Medicaid Provider Spending

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

NEXGEN HOME HEALTH & CONSULTANT SERVICES, LLC.

NPI: 1336773985 · LITTLE ROCK, AR 72204 · Chore Provider · NPI assigned 02/22/2020

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

96% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.

$1.48M
Total Medicaid Paid
15,581
Total Claims
1,550
Beneficiaries
3
Codes Billed
2021-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBOYD, SHARON (OWNER)
NPI Enumeration Date02/22/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 449 $113K
2022 1,201 $211K
2023 5,684 $439K
2024 8,247 $720K

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) 15,018 1,433 $1.43M
S5125 Attendant care services; per 15 minutes 544 105 $54K
T1017 Targeted case management, each 15 minutes 19 12 $277.50