Medicaid Provider Spending

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

ESSENTIAL HOMECARE LLC

NPI: 1437520483 · WORCESTER, MA 01609 · Home Health Agency · NPI assigned 10/16/2015

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

100% of spending on code H0043 with only 1 total codes billed. Highly concentrated billing profile.

$2.31M
Total Medicaid Paid
38,435
Total Claims
2,097
Beneficiaries
1
Codes Billed
2018-01
First Month
2023-09
Last Month

Provider Details

Authorized OfficialHILL, DOUGLAS (CEO)
NPI Enumeration Date10/16/2015

Related Entities

Other providers sharing the same authorized official: HILL, DOUGLAS

ProviderCityStateTotal Paid
MID-VALLEY HEALTH SERVICES, LLC CERES CA $1.45M
ACCESS TO CARE, LLC MUNCIE IN $106K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,832 $392K
2019 1,794 $410K
2020 7,506 $420K
2021 12,102 $512K
2022 8,915 $392K
2023 4,286 $186K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0043 Supported housing, per diem 38,435 2,097 $2.31M