Agency
Ian Mark Gewin
Ian Mark Gewin was paid $48.30M by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 100% of everything it billed.
33Billing provider infoIAN MARK GEWIN
COSBY, MO 64436
COSBY, MO 64436
33aNPI1487843694assigned 10/24/2007
33bProvider typeCase Management Agency
28Total paid$48.30M
24GClaims828,468
24DCodes billed3
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Management Agency providers in Missouri
Rank by total paid#4 of 86
Median peer was paid$4.42M
This provider vs. median11×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 137,778 | $6.99M | |
| 2019 | 124,722 | $6.61M | |
| 2020 | 124,482 | $6.82M | |
| 2021 | 121,446 | $6.72M | |
| 2022 | 113,883 | $6.90M | |
| 2023 | 105,859 | $7.13M | |
| 2024incomplete | 100,298 | $7.13M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal 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) | 100% | 826,420 | 41,996 | $48.13M |
| T1001 | Nursing assessment / evaluation | <1% | 1,495 | 499 | $91K |
| T2040 | Financial management, self-directed, waiver; per 15 minutes | <1% | 553 | 545 | $77K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGEWIN, IAN (OWNER)