Medicaid Provider Spending

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

HORIZON ADULT HEALTH CARE LLC

NPI: 1598804833 · HARLAN, KY 40831 · Case Management Agency · NPI assigned 02/05/2007

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

95% of spending on code S5100 with only 3 total codes billed. Highly concentrated billing profile.

$3.80M
Total Medicaid Paid
69,138
Total Claims
4,358
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialUPCHURCH, KELLY (PRESIDENT & CEO)
NPI Enumeration Date02/05/2007

Related Entities

Other providers sharing the same authorized official: UPCHURCH, KELLY

ProviderCityStateTotal Paid
AMERICAN HEALTH MANAGEMENT, INC. RICHMOND KY $99.38M
AMERICAN HEALTH MANAGEMENT, INC. WHITLEY CITY KY $3.58M
HORIZON ADULT HEALTH CARE LLC MONTICELLO KY $3.05M
AMERICAN HEALTH MANAGEMENT, INC. IRVINE KY $2.94M
HORIZON ADULT HEALTH CARE LLC ALBANY KY $2.78M
HORIZON ADULT HEALTH CARE LLC PINEVILLE KY $2.34M
AMERICAN HEALTH MANAGEMENT, INC MT. VERNON KY $2.10M
AMERICAN HEALTH MANAGEMENT, INC. WILLIAMSBURG KY $2.05M
AMERICAN HEALTH MANAGEMENT, INC. MCKEE KY $1.81M
AMERICAN HEALTH MANAGEMENT, INC. MANCHESTER KY $599K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17,545 $948K
2019 13,723 $858K
2020 15,248 $505K
2021 8,386 $417K
2022 4,736 $331K
2023 4,360 $329K
2024 5,140 $415K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5100 Day care services, adult; per 15 minutes 57,825 3,647 $3.63M
S5170 Home delivered meals, including preparation; per meal 10,627 627 $152K
T1005 Respite care services, up to 15 minutes 686 84 $27K