Medicaid Provider Spending

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

MEDICALODGES, INC.

NPI: 1437410651 · PITTSBURG, KS 66762 · Assisted Living Facility · NPI assigned 06/05/2012

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

100% of spending on code S5125 with only 1 total codes billed. Highly concentrated billing profile.

$3.25M
Total Medicaid Paid
1,730
Total Claims
1,556
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialHINES, SCOTT (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date06/05/2012

Related Entities

Other providers sharing the same authorized official: HINES, SCOTT

ProviderCityStateTotal Paid
GV-OP COFFEYVILLE LLC COFFEYVILLE KS $1.13M
MEDICALODGES, INC. INDEPENDENCE KS $479K
MEDICALODGES, INC. NEOSHO MO $12K
MEDICALODGES, INC. GARDNER KS $0.00
MEDICALODGES, INC. ATCHISON KS $0.00
MEDICALODGES, INC. EUDORA KS $0.00
MEDICALODGES, INC. FRONTENAC KS $0.00
MEDICALODGES, INC. INDEPENDENCE KS $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 308 $355K
2019 221 $389K
2020 243 $471K
2021 242 $493K
2022 262 $544K
2023 270 $583K
2024 184 $417K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 1,730 1,556 $3.25M