Medicaid Provider Spending

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

SUNRISE HOME CARE INC

NPI: 1407124613 · SILER CITY, NC 27344 · Home Health Agency · NPI assigned 12/02/2011

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

99% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.

$2.17M
Total Medicaid Paid
21,686
Total Claims
865
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialMCSWAIN, MYRA (OWNER/DIRECTOR)
Parent OrganizationSUNRISE HOME CARE
NPI Enumeration Date12/02/2011

Related Entities

Other providers sharing the same authorized official: MCSWAIN, MYRA

ProviderCityStateTotal Paid
SUNRISE HOME CARE INC SILER CITY NC $10.96M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,929 $399K
2019 6,022 $514K
2020 5,266 $548K
2021 3,440 $413K
2022 521 $81K
2024 1,508 $211K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 21,371 853 $2.15M
99509 Home visit for assistance with activities of daily living and personal care 315 12 $13K