Gholar, Kimberly
Gholar, Kimberly was paid $2.18M by Medicaid between Jan 2018 and Jan 2022, across 1 billing code. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 100% of everything it billed.
33Billing provider infoGHOLAR, KIMBERLY
PRENTISS, MS 39474
PRENTISS, MS 39474
33aNPI1376714667assigned 03/14/2008
33bProvider typeHealth & Wellness Coach
28Total paid$2.18M
24GClaims32,238
24DCodes billed1
24AFirst – last monthJan 2018 – Jan 2022
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 10,732 | $661K | |
| 2019 | 10,787 | $709K | |
| 2020 | 6,382 | $470K | |
| 2021 | 4,171 | $329K | |
| 2022 | 166 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal 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) | 100% | 32,238 | 2,700 | $2.18M |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.