Medicaid Provider Spending

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

NPI: 1538283957 · HUNTINGTON, WV 25701 · Case Management Agency · NPI assigned 03/19/2007

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

99% of spending on code S5130 with only 2 total codes billed. Highly concentrated billing profile.

$1.62M
Total Medicaid Paid
1,836
Total Claims
1,812
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCOBURN, DWIGHT (CEO)
Parent OrganizationSOUTHWESTERN COMMUNITY ACTION
NPI Enumeration Date03/19/2007

Related Entities

Other providers sharing the same authorized official: COBURN, DWIGHT

ProviderCityStateTotal Paid
SOUTHWESTERN COMMUNITY ACTION COUNCIL INC HUNTINGTON WV $429K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 468 $372K
2019 339 $322K
2020 342 $305K
2021 232 $234K
2022 187 $202K
2023 169 $180K
2024 99 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5130 Homemaker service, nos; per 15 minutes 849 838 $1.60M
T1002 Rn services, up to 15 minutes 987 974 $14K