Medicaid Provider Spending

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

PACIFIC HEALTH SYSTEMS LLC

NPI: 1568915809 · STOCKBRIDGE, GA 30281 · Home Health Agency · NPI assigned 08/03/2016

$9.88M
Total Medicaid Paid
57,216
Total Claims
4,215
Beneficiaries
4
Codes Billed
2018-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialIDAEWOR, REMIGIUS (OWNER)
NPI Enumeration Date08/03/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 413 $215K
2019 901 $390K
2020 2,866 $1.07M
2021 4,749 $1.44M
2022 16,802 $2.09M
2023 16,534 $2.36M
2024 14,951 $2.31M

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) 41,905 3,012 $6.28M
T2025 Waiver services; not otherwise specified (nos) 12,981 660 $2.63M
T1021 Home health aide or certified nurse assistant, per visit 2,289 507 $950K
T2028 Specialized supply, not otherwise specified, waiver 41 36 $10K