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 $2.34M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is S5100, Day care services, adult; per 15 minutes — 98% of everything it billed.

33Billing provider infoHORIZON ADULT HEALTH CARE LLC
PINEVILLE, KY 40977
33aNPI1619016946assigned 02/05/2007
33bProvider typeCase Management Agency
28Total paid$2.34M
24GClaims41,087
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Case Management Agency providers in Kentucky

Rank by total paid#60 of 94
Median peer was paid$3.21M
This provider vs. median0.7×

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 Concentration98% of spending on code S5100 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
20185,767$375K
20196,097$423K
20206,315$249K
20213,881$209K
20226,391$339K
20236,989$382K
2024incomplete5,647$364K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S5100 Day care services, adult; per 15 minutes 98% 37,417 2,657 $2.29M
S5170 Home delivered meals, including preparation; per meal 2.3% 3,670 221 $54K

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
Horizon Adult Health Care LLCHarlan, KY$3.80M
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
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.