Medicaid Provider Spending

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

A RISE ABOVE HOME CARE

NPI: 1487268041 · COLO SPGS, CO 80919 · Case Manager/Care Coordinator · NPI assigned 09/01/2020

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

100% of spending on code T1016 with only 1 total codes billed. Highly concentrated billing profile.

$3.68M
Total Medicaid Paid
82,177
Total Claims
41,957
Beneficiaries
1
Codes Billed
2020-09
First Month
2024-06
Last Month

Provider Details

Authorized OfficialCHAPMAN, DONNA (DIRECTOR OF CASE MANAGEMENT)
NPI Enumeration Date09/01/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 5,654 $435K
2021 18,785 $1.14M
2022 20,763 $699K
2023 24,099 $887K
2024 12,876 $524K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1016 Case management, each 15 minutes 82,177 41,957 $3.68M