Medicaid Provider Spending

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

PILGRIM REST PERSONAL CARE & RESPITE SERVICE

NPI: 1356899579 · WINSTONVILLE, MS 38781 · Respite Care · NPI assigned 09/16/2016

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.

$1.16M
Total Medicaid Paid
2,168
Total Claims
591
Beneficiaries
1
Codes Billed
2024-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJEFFERSON, GLORIA (OWNER/ADMINISTRATOR)
NPI Enumeration Date09/16/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 2,168 $1.16M

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) 2,168 591 $1.16M