Medicaid Provider Spending

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

DEPAUL ADULT CARE

NPI: 1568534055 · ROCHESTER, NY 14624 · Assisted Living Facility · NPI assigned 11/14/2006

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

100% of spending on code 99509 with only 1 total codes billed. Highly concentrated billing profile.

$37.54M
Total Medicaid Paid
578,521
Total Claims
19,294
Beneficiaries
1
Codes Billed
2018-01
First Month
2021-11
Last Month

Provider Details

Authorized OfficialWHALEN, JAMES (CFO)
NPI Enumeration Date11/14/2006

Related Entities

Other providers sharing the same authorized official: WHALEN, JAMES

ProviderCityStateTotal Paid
LIVING OPPORTUNITIES OF DEPAUL ROCHESTER NY $6.52M
DEPAUL COMMUNTIY SERVICES ROCHESTER NY $513K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 161,227 $7.95M
2019 156,891 $7.80M
2020 144,546 $11.94M
2021 115,857 $9.84M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99509 Home visit for assistance with activities of daily living and personal care 578,521 19,294 $37.54M