Medicaid Provider Spending

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

GHOLAR, KIMBERLY

NPI: 1376714667 · PRENTISS, MS 39474 · Health & Wellness Coach · NPI assigned 03/14/2008

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.

$2.18M
Total Medicaid Paid
32,238
Total Claims
2,700
Beneficiaries
1
Codes Billed
2018-01
First Month
2022-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,732 $661K
2019 10,787 $709K
2020 6,382 $470K
2021 4,171 $329K
2022 166 $13K

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) 32,238 2,700 $2.18M