Medicaid Provider Spending

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

D & R ENTERPRISE LLC

NPI: 1376827220 · LITTLETON, CO 80128 · Home Health Agency · NPI assigned 10/10/2011

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

94% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

$1.42M
Total Medicaid Paid
2,773
Total Claims
1,057
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialGUY, DARIAN (OWNER/AGENCY MANAGER)
NPI Enumeration Date10/10/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 747 $308K
2019 506 $238K
2020 464 $246K
2021 341 $184K
2022 25 $16K
2023 306 $165K
2024 384 $261K

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) 2,712 1,033 $1.33M
H0038 Self-help/peer services, per 15 minutes 61 24 $84K