Medicaid Provider Spending

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

MOUNTAIN OUTREACH INC.

NPI: 1538211453 · MC ROBERTS, KY 41835 · Adult Day Care Clinic/Center · NPI assigned 01/18/2007

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

99% of spending on code S5108 with only 2 total codes billed. Highly concentrated billing profile.

$7.48M
Total Medicaid Paid
31,135
Total Claims
2,440
Beneficiaries
2
Codes Billed
2018-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHALL, VERNON (EXECUTIVE DIRECTOR)
NPI Enumeration Date01/18/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 46 $5K
2019 3,200 $420K
2020 4,706 $792K
2021 4,201 $741K
2022 4,989 $1.16M
2023 6,469 $1.94M
2024 7,524 $2.42M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5108 Home care training to home care client, per 15 minutes 30,300 2,377 $7.42M
S5100 Day care services, adult; per 15 minutes 835 63 $67K