Medicaid Provider Spending

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

CAREGIVERS AMERICA LLC

NPI: 1508926981 · CLARKS SUMMIT, PA 18411 · In Home Supportive Care Agency · NPI assigned 12/08/2006

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

100% of spending on code W1793 with only 3 total codes billed. Highly concentrated billing profile.

$31.94M
Total Medicaid Paid
190,006
Total Claims
9,023
Beneficiaries
3
Codes Billed
2019-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBERSTLER, CHELSEY (EXECUTIVE VICE PRESIDENT)
NPI Enumeration Date12/08/2006

Related Entities

Other providers sharing the same authorized official: BERSTLER, CHELSEY

ProviderCityStateTotal Paid
CAREGIVERS AMERICA HOME HEALTH SERVICES, LLC. CLARKS SUMMIT PA $36.70M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 208 $13K
2020 8,113 $1.32M
2021 40,679 $5.57M
2022 40,441 $6.58M
2023 54,095 $10.06M
2024 46,470 $8.40M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
W1793 State-specific procedure code 189,798 8,910 $31.93M
T1002 Rn services, up to 15 minutes 77 43 $7K
T1003 Lpn/lvn services, up to 15 minutes 131 70 $7K