Medicaid Provider Spending

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

ROYALTY ENTERPRISES LLC

NPI: 1346774833 · SAINT LOUIS, MO 63116 · Home Health Agency · NPI assigned 04/12/2017

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.

$1.81M
Total Medicaid Paid
36,907
Total Claims
1,168
Beneficiaries
1
Codes Billed
2019-03
First Month
2024-09
Last Month

Provider Details

Authorized OfficialAUSTIN, TAWANA (MANAGER)
NPI Enumeration Date04/12/2017

Related Entities

Other providers sharing the same authorized official: AUSTIN, TAWANA

ProviderCityStateTotal Paid
ROYALTY ENTERPRISES LLC SAINT LOUIS MO $1.71M
ROYALTY ENTERPRISES LLC SAINT LOUIS MO $859K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 3,109 $131K
2020 6,924 $295K
2021 7,924 $377K
2022 8,122 $399K
2023 6,399 $376K
2024 4,429 $233K

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) 36,907 1,168 $1.81M