Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WV › BLUEFIELD › COMMUNITY ACTION SOUTH EASTERN WV

COMMUNITY ACTION SOUTH EASTERN WV

NPI: 1457451627 · BLUEFIELD, WV 24701 · Home Health Agency · NPI assigned 09/25/2006

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

99% of spending on code T1016 with only 3 total codes billed. Highly concentrated billing profile.

$2.29M
Total Medicaid Paid
35,724
Total Claims
13,149
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJOHNSON, BRENDA (PROGRAM DIRECTOR)
NPI Enumeration Date09/25/2006

Related Entities

Other providers sharing the same authorized official: JOHNSON, BRENDA

ProviderCityStateTotal Paid
FLORIDA OCULAR PROSTHETICS INC STUART FL $119K
RANCHOTHERAPY, INC. VAN BUREN AR $8K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,700 $277K
2019 979 $81K
2020 3,989 $294K
2021 5,644 $389K
2022 6,742 $466K
2023 8,327 $437K
2024 6,343 $350K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1016 Case management, each 15 minutes 35,403 12,834 $2.27M
S5190 Wellness assessment, performed by non-physician 307 301 $28K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 14 14 $518.52