Medicaid Provider Spending

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

RIVER VALLEY PCA SERVICES, INC.

NPI: 1467507251 · FARMINGTON, MN 55024 · Home Health Agency · NPI assigned 01/24/2007

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

100% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

$2.82M
Total Medicaid Paid
39,656
Total Claims
1,130
Beneficiaries
2
Codes Billed
2018-01
First Month
2022-08
Last Month

Provider Details

Authorized OfficialKUMMER, JAIME (ADMINISTRATOR/CEO)
NPI Enumeration Date01/24/2007

Related Entities

Other providers sharing the same authorized official: KUMMER, JAIME

ProviderCityStateTotal Paid
JB KUMMER ENTERPRISES LLC FARMINGTON MN $1.34M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,190 $542K
2019 8,666 $618K
2020 9,021 $626K
2021 9,408 $675K
2022 4,371 $356K

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) 39,577 1,093 $2.81M
T1030 Nursing care, in the home, by registered nurse, per diem 79 37 $6K