Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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A PLUS HEALTH CARE INC

NPI: 1528088853 · KALISPELL, MT 59901 · Case Management Agency · NPI assigned 07/20/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official ANDERSON, DARBY controls 20+ related entities in our dataset. Read more

$28.19M
Total Medicaid Paid
492,619
Total Claims
36,518
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DARBY (EVP CHIEF STRATEGY OFFICER)
Parent OrganizationADDUS HEALTHCARE, INC.
NPI Enumeration Date07/20/2006

Related Entities

Other providers sharing the same authorized official: ANDERSON, DARBY

ProviderCityStateTotal Paid
GIRLING HEALTH CARE, INC. AUSTIN TX $858.20M
SOUTH SHORE HOME HEALTH SERVICE, INC. RONKONKOMA NY $356.44M
CURA PARTNERS, LLC JOHNSON CITY TN $49.26M
ADDUS HEALTHCARE (SOUTH CAROLINA), INC. WINTERSVILLE OH $25.57M
ADDUS HEALTHCARE, INC. DETROIT MI $18.48M
ADDUS HEALTH CARE INC ROLLA MO $15.75M
ADDUS HEALTH CARE INC BRINKLEY AR $13.06M
ADDUS HEALTHCARE (SOUTH CAROLINA), INC. COLUMBIA SC $12.17M
ADDUS HEALTHCARE, INC. SANTA FE NM $10.55M
PRIORITY HOME HEALTH CARE, INC MIDDLEBURG HEIGHTS OH $9.15M
PRAC HOLDINGS, INC. PHOENIX AZ $8.92M
COUNTY HOMEMAKERS INC DU BOIS PA $8.58M
SOUTH SHORE HOME HEALTH SERVICE, INC. RONKONKOMA NY $7.80M
ADDUS HEALTHCARE (SOUTH CAROLINA), INC. NORTH WILKESBORO NC $7.19M
ADDUS HEALTH CARE INC ROLLA MO $6.63M
ADDUS HEALTHCARE, INC. MERIDIAN ID $6.15M
PRAC HOLDINGS, INC. MARQUETTE MI $5.97M
ADDUS HEALTHCARE (SOUTH CAROLINA), INC. SUMTER SC $5.49M
ADDUS HEALTHCARE (SOUTH CAROLINA), INC. GREENVILLE SC $4.49M
ADDUS HEALTH CARE INC ROLLA MO $4.31M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 47,240 $1.72M
2019 54,492 $2.61M
2020 63,588 $3.33M
2021 76,322 $4.18M
2022 106,533 $5.12M
2023 80,159 $5.72M
2024 64,285 $5.51M

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) 358,594 13,982 $17.53M
T1002 Rn services, up to 15 minutes 18,228 1,498 $4.35M
S5135 Companion care, adult (e.g., iadl/adl); per 15 minutes 8,495 1,557 $1.79M
T1003 Lpn/lvn services, up to 15 minutes 16,282 1,865 $1.61M
S5126 Attendant care services; per diem 30,572 6,985 $1.05M
T2001 Non-emergency transportation; patient attendant/escort 17,218 2,764 $664K
S5150 Unskilled respite care, not hospice; per 15 minutes 3,560 587 $558K
H2019 Therapeutic behavioral services, per 15 minutes 2,964 200 $222K
A0080 Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest 17,954 4,215 $144K
T2021 Day habilitation, waiver; per 15 minutes 1,859 396 $141K
S0215 Non-emergency transportation; mileage, per mile 12,213 2,026 $90K
S5130 Homemaker service, nos; per 15 minutes 1,560 170 $29K
T2033 Residential care, not otherwise specified (nos), waiver; per diem 106 43 $18K
S9125 Respite care, in the home, per diem 449 62 $0.00
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 2,392 155 $0.00
T1005 Respite care services, up to 15 minutes 173 13 $0.00