Medicaid Provider Spending

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

OUR HOUSE CARES RESIDENTIAL SERVICES

NPI: 1659631026 · MASSILLON, OH 44646 · Developmentally Disabled Services Day Training Agency · NPI assigned 05/20/2012

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

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

$1.26M
Total Medicaid Paid
12,845
Total Claims
730
Beneficiaries
1
Codes Billed
2018-01
First Month
2021-08
Last Month

Provider Details

Authorized OfficialSPENCER, TAMIKO (CEO)
NPI Enumeration Date05/20/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,188 $387K
2019 3,293 $353K
2020 3,361 $329K
2021 2,003 $188K

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) 12,845 730 $1.26M