Medicaid Provider Spending

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

ROYALTY ENTERPRISES LLC

NPI: 1518401637 · SAINT LOUIS, MO 63116 · Adult Day Care Clinic/Center · NPI assigned 12/08/2016

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

100% of spending on code S5100 with only 1 total codes billed. Highly concentrated billing profile.

$1.71M
Total Medicaid Paid
26,433
Total Claims
1,550
Beneficiaries
1
Codes Billed
2018-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialAUSTIN, TAWANA (MANAGER)
NPI Enumeration Date12/08/2016

Related Entities

Other providers sharing the same authorized official: AUSTIN, TAWANA

ProviderCityStateTotal Paid
ROYALTY ENTERPRISES LLC SAINT LOUIS MO $1.81M
ROYALTY ENTERPRISES LLC SAINT LOUIS MO $859K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,933 $124K
2019 3,405 $210K
2020 4,128 $242K
2021 4,406 $273K
2022 5,405 $337K
2023 3,728 $301K
2024 3,428 $220K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5100 Day care services, adult; per 15 minutes 26,433 1,550 $1.71M