Medicaid Provider Spending

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

PROVIDENCE HOME CARE LLC

NPI: 1649630732 · COLUMBIA, MO 65201 · Home Health Agency · NPI assigned 03/02/2016

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

92% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

$4.43M
Total Medicaid Paid
47,062
Total Claims
6,273
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialELKOMY, MOHAMED (BUSINESS MANAGER)
NPI Enumeration Date03/02/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,103 $549K
2019 5,447 $697K
2020 5,300 $693K
2021 7,325 $603K
2022 6,222 $634K
2023 5,491 $623K
2024 6,174 $630K

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) 38,470 3,960 $4.05M
T1001 Nursing assessment / evaluation 8,592 2,313 $375K