Medicaid Provider Spending

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

ARSEMA INC

NPI: 1407382559 · AURORA, CO 80012 · Home Health Agency · NPI assigned 05/11/2017

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

91% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

$2.26M
Total Medicaid Paid
6,539
Total Claims
1,678
Beneficiaries
2
Codes Billed
2018-01
First Month
2021-08
Last Month

Provider Details

Authorized OfficialWORKNEH, ANDU (MANAGER)
NPI Enumeration Date05/11/2017

Related Entities

Other providers sharing the same authorized official: WORKNEH, ANDU

ProviderCityStateTotal Paid
VRAI INC AURORA CO $1.39M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,858 $578K
2019 2,437 $740K
2020 1,293 $539K
2021 951 $401K

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) 5,045 1,285 $2.05M
S5130 Homemaker service, nos; per 15 minutes 1,494 393 $210K