Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Horizon Adult Health Care LLC

Horizon Adult Health Care LLC was paid $3.80M by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is S5100, Day care services, adult; per 15 minutes — 95% of everything it billed.

33Billing provider infoHORIZON ADULT HEALTH CARE LLC
HARLAN, KY 40831
33aNPI1598804833assigned 02/05/2007
33bProvider typeCase Management Agency
28Total paid$3.80M
24GClaims69,138
24DCodes billed3
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Case Management Agency providers in Kentucky

Rank by total paid#41 of 94
Median peer was paid$3.21M
This provider vs. median1.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration95% of spending on code S5100 with only 3 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201817,545$948K
201913,723$858K
202015,248$505K
20218,386$417K
20224,736$331K
20234,360$329K
2024incomplete5,140$415K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S5100 Day care services, adult; per 15 minutes 95% 57,825 3,647 $3.63M
S5170 Home delivered meals, including preparation; per meal 4.0% 10,627 627 $152K
T1005 Respite care services, up to 15 minutes <1% 686 84 $27K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialUPCHURCH, KELLY (PRESIDENT & CEO)
Same official

Other billing entities under UPCHURCH, KELLY

Full network →
ProviderLocationPaid
American Health Management, INC.Richmond, KY$99.38M
American Health Management, INC.Whitley City, KY$3.58M
Horizon Adult Health Care LLCMonticello, KY$3.05M
American Health Management, INC.Irvine, KY$2.94M
Horizon Adult Health Care LLCAlbany, KY$2.78M
Horizon Adult Health Care LLCPineville, KY$2.34M
American Health Management, INCMt. 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

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.