Medicaid Provider Spending

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

ACME HEALTH SERVICES, INC

NPI: 1518920156 · INDIANAPOLIS, IN 46220 · Home Health Agency · NPI assigned 04/06/2006

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

99% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.

$1.00M
Total Medicaid Paid
17,062
Total Claims
1,004
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-07
Last Month

Provider Details

Authorized OfficialPATEL, VIJAY (ADMINISTRATOR)
NPI Enumeration Date04/06/2006

Related Entities

Other providers sharing the same authorized official: PATEL, VIJAY

ProviderCityStateTotal Paid
LONE STAR DENTAL AND BRACES, PLLC FT WORTH TX $2.44M
RARITAN BAY PRIMARY CARE & CARDIOLOGY ASSOCIATES, PA MATAWAN NJ $1.73M
MONTCLAIR PLAZA DENTAL GROUP MONTCLAIR CA $387K
WAYNE PRIMARY CARE WAYNE MI $347K
VISITING PHYSICIANS SERVICES NORTHVILLE MI $18K
VIJAY B. PATEL SAN BERNARDINO CA $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,616 $280K
2019 5,573 $289K
2020 4,270 $301K
2021 1,566 $123K
2024 37 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 17,025 982 $992K
T2022 Case management, per month 37 22 $13K