Medicaid Provider Spending

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

PRESTIGE HOME HEALTH SERVICES LLC

NPI: 1609321710 · WESTERVILLE, OH 43081 · Health Maintenance Organization · NPI assigned 08/18/2016

Billing Flags · Automated signals — not evidence of fraud
High Claims/Beneficiary Ratio

62 claims per beneficiary (threshold: 50). This could indicate intensive per-unit billing or warrant further review. Read more

Single-Code Concentration

100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.

$2.41M
Total Medicaid Paid
63,639
Total Claims
1,031
Beneficiaries
1
Codes Billed
2020-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJAMA, ABDI (OWNER)
NPI Enumeration Date08/18/2016

Related Entities

Other providers sharing the same authorized official: JAMA, ABDI

ProviderCityStateTotal Paid
FARADAH ADULT DAY CARE, LLC COLUMBUS OH $2.27M
WESTGATE ADULT DAY CARE LLC COLUMBUS OH $569K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 9,070 $314K
2021 13,671 $471K
2022 12,623 $494K
2023 15,406 $342K
2024 12,869 $792K

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) 63,639 1,031 $2.41M