Medicaid Provider Spending

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

AMERICAN HEALTH MANAGEMENT, INC.

NPI: 1447399712 · WILLIAMSBURG, KY 40769 · Case Management Agency · NPI assigned 02/05/2007

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

95% of spending on code S5100 with only 2 total codes billed. Highly concentrated billing profile.

$2.05M
Total Medicaid Paid
35,568
Total Claims
2,673
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialUPCHURCH, KELLY (PRESIDENT & CEO)
NPI Enumeration Date02/05/2007

Related Entities

Other providers sharing the same authorized official: UPCHURCH, KELLY

ProviderCityStateTotal Paid
AMERICAN HEALTH MANAGEMENT, INC. RICHMOND KY $99.38M
HORIZON ADULT HEALTH CARE LLC HARLAN KY $3.80M
AMERICAN HEALTH MANAGEMENT, INC. WHITLEY CITY KY $3.58M
HORIZON ADULT HEALTH CARE LLC MONTICELLO KY $3.05M
AMERICAN HEALTH MANAGEMENT, INC. IRVINE KY $2.94M
HORIZON ADULT HEALTH CARE LLC ALBANY KY $2.78M
HORIZON ADULT HEALTH CARE LLC PINEVILLE KY $2.34M
AMERICAN HEALTH MANAGEMENT, INC MT. VERNON KY $2.10M
AMERICAN HEALTH MANAGEMENT, INC. MCKEE KY $1.81M
AMERICAN HEALTH MANAGEMENT, INC. MANCHESTER KY $599K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,174 $339K
2019 4,906 $323K
2020 10,291 $339K
2021 5,873 $321K
2022 3,391 $250K
2023 2,966 $233K
2024 2,967 $241K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5100 Day care services, adult; per 15 minutes 28,059 2,206 $1.94M
S5170 Home delivered meals, including preparation; per meal 7,509 467 $111K