Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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RES-CARE OKLAHOMA, INC.

NPI: 1477601326 · OKLAHOMA CITY, OK 73127 · Nursing Care Agency · NPI assigned 01/08/2007

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

91% of spending on code T1016 with only 3 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official PEMBERTON, MARGARET controls 20+ related entities in our dataset. Read more

$5.18M
Total Medicaid Paid
68,210
Total Claims
25,960
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPEMBERTON, MARGARET (VICE PRESIDENT)
NPI Enumeration Date01/08/2007

Related Entities

Other providers sharing the same authorized official: PEMBERTON, MARGARET

ProviderCityStateTotal Paid
CREATIVE NETWORKS, L.L.C. PHOENIX AZ $159.68M
SOUTHERN HOME CARE SERVICES, INC. BETHEL AK $68.79M
RES-CARE WASHINGTON, INC COEUR D ALENE ID $31.64M
SOUTHERN HOME CARE SERVICES, INC. OPELOUSAS LA $10.67M
SOUTHERN HOME CARE SERVICES, INC. AIKEN SC $6.65M
SOUTHERN HOME CARE SERVICES, INC. MISSOULA MT $5.30M
ADORATION HOSPICE, LLC MADISON TN $2.74M
SOUTHERN HOME CARE SERVICES, INC. GREENWOOD SC $1.52M
SOUTHERN HOME CARE SERVICES, INC JENNINGS LA $1.18M
RES-CARE PREMIER, INC. MILAN MI $1.17M
SHC MEDICAL PARTNERS OF FLORIDA, LLC PENSACOLA FL $425K
SOUTHERN HOME CARE SERVICES, INC. CLEARWATER FL $421K
ICP ARKANSAS ACO BILLING LLC MAUMELLE AR $345K
RES-CARE WASHINGTON, INC. NAMPA ID $274K
ADORATION HOME HEALTH CARE VIRGINIA LLC WISE VA $257K
RES-CARE WASHINGTON, INC. BOISE ID $220K
PROGRESSIVE REHABILITATION ASSOCIATES LLC PORTLAND OR $105K
RWW OUTPATIENT REHAB SERVICES, LLC GOODYEAR AZ $70K
HOME HEALTH CARE SERVICES II, INC. CLEVELAND MS $53K
RWW OUTPATIENT REHAB SERVICES, LLC HENDERSONVILLE TN $25K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,079 $304K
2019 4,693 $268K
2020 8,549 $551K
2021 10,693 $785K
2022 12,417 $996K
2023 12,331 $1.11M
2024 12,448 $1.16M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1016 Case management, each 15 minutes 61,832 21,402 $4.72M
T1002 Rn services, up to 15 minutes 3,570 3,546 $291K
G0300 Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes 2,808 1,012 $167K