Medicaid Provider Spending

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

NORTHERN FAMILY HOME HEALTH CARE LLC

NPI: 1558801753 · SAINT LOUIS, MO 63136 · Home Health Agency · NPI assigned 03/07/2017

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

100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.

$3.74M
Total Medicaid Paid
56,901
Total Claims
2,152
Beneficiaries
1
Codes Billed
2018-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNORTHERN, KIMBERLY (OWNER)
NPI Enumeration Date03/07/2017

Related Entities

Other providers sharing the same authorized official: NORTHERN, KIMBERLY

ProviderCityStateTotal Paid
NORTHERN FAMILY ADULT DAYCARE LLC SAINT LOUIS MO $757K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,095 $60K
2019 6,913 $384K
2020 8,127 $483K
2021 9,225 $563K
2022 9,628 $636K
2023 11,439 $820K
2024 10,474 $792K

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) 56,901 2,152 $3.74M