Medicaid Provider Spending

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

A BETTER OPTION IHS LLC

NPI: 1508317868 · FLORISSANT, MO 63033 · Home Health Agency · NPI assigned 10/20/2016

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

100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.

$1.07M
Total Medicaid Paid
4,563
Total Claims
759
Beneficiaries
1
Codes Billed
2019-03
First Month
2023-08
Last Month

Provider Details

Authorized OfficialPAYNES, SHARON (DIRECTOR)
NPI Enumeration Date10/20/2016

Related Entities

Other providers sharing the same authorized official: PAYNES, SHARON

ProviderCityStateTotal Paid
A BETTER OPTION LLC FLORISSANT MO $6.60M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 675 $123K
2020 1,207 $238K
2021 1,105 $244K
2022 1,120 $313K
2023 456 $149K

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) 4,563 759 $1.07M