Medicaid Provider Spending

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

WORCESTER COUNTY TARGETED CASE MANAGEMENT

NPI: 1659609022 · SNOW HILL, MD 21863 · Public Health or Welfare Agency · NPI assigned 11/24/2009

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

96% of spending on code T1016 with only 2 total codes billed. Highly concentrated billing profile.

$2.35M
Total Medicaid Paid
17,690
Total Claims
6,624
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBARTON, HEATHER (DIRECTOR, ADMINISTRATIVE SERVICES)
NPI Enumeration Date11/24/2009

Related Entities

Other providers sharing the same authorized official: BARTON, HEATHER

ProviderCityStateTotal Paid
WORCESTER COUNTY HEALTH DEPARTMENT SNOW HILL MD $15.91M
WORCESTER COUNTY HEALTH DEPARTMENT SNOW HILL MD $3.83M
WORCESTER COUNTY HEALTH DEPARTMENT SNOW HILL MD $3.74M
WORCESTER COUNTY HEALTH DEPARTMENT BERLIN MD $1.73M
WORCESTER COUNTY HEALTH DEPARTMENT BERLIN MD $171K
WORCESTER COUNTY HEALTH DEPARTMENT SNOW HILL MD $45K
WORCESTER COUNTY HEALTH DEPT OCEAN CITY MD $9K
WORCESTER COUNTY HEALTH DEPARTMENT OCEAN CITY MD $1K
WORCESTER COUNTY HEALTH DEPARTMENT SNOW HILL MD $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,410 $399K
2019 2,368 $287K
2020 3,370 $419K
2021 2,609 $349K
2022 2,110 $305K
2023 1,994 $303K
2024 1,829 $293K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1016 Case management, each 15 minutes 16,938 5,891 $2.26M
H0031 Mental health assessment, by non-physician 752 733 $98K