Medicaid Provider Spending

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

ALWAYS FIRST IN-HOME SERVICES

NPI: 1518283951 · CARUTHERSVILLE, MO 63830 · In Home Supportive Care Agency · NPI assigned 04/09/2010

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

91% of spending on code S5150 with only 2 total codes billed. Highly concentrated billing profile.

$4.63M
Total Medicaid Paid
97,324
Total Claims
4,450
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTROWBRIDGE, EMILY (OWNER)
NPI Enumeration Date04/09/2010

Related Entities

Other providers sharing the same authorized official: TROWBRIDGE, EMILY

ProviderCityStateTotal Paid
ALWAYS FIRST CONSUMER DIRECTED SERVICES, LLC CARUTHERSVILLE MO $7.94M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,127 $310K
2019 10,247 $382K
2020 10,745 $392K
2021 13,444 $576K
2022 15,145 $899K
2023 21,119 $1.13M
2024 17,497 $946K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5150 Unskilled respite care, not hospice; per 15 minutes 84,864 3,633 $4.22M
S5130 Homemaker service, nos; per 15 minutes 12,460 817 $416K