Medicaid Provider Spending

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

AFFUL, KELVIN

NPI: 1598379448 · DAYTON, OH 45403 · Home Health Agency · NPI assigned 09/08/2020

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.

$1.41M
Total Medicaid Paid
19,893
Total Claims
909
Beneficiaries
1
Codes Billed
2022-04
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 4,385 $374K
2023 8,284 $154K
2024 7,224 $879K

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) 19,893 909 $1.41M