Medicaid Provider Spending

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

SOUTHERN CARE CONNECTION, LLC

NPI: 1659819134 · NEW ORLEANS, LA 70130 · Home Health Agency · NPI assigned 02/06/2017

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.

$2.88M
Total Medicaid Paid
52,338
Total Claims
1,927
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOPEZ, SHAWN (OWNER/ MANAGER)
NPI Enumeration Date02/06/2017

Related Entities

Other providers sharing the same authorized official: LOPEZ, SHAWN

ProviderCityStateTotal Paid
SOUTHERN CARE CONNECTION, LLC NEW ORLEANS LA $1.96M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,813 $261K
2019 5,603 $211K
2020 4,645 $334K
2021 7,223 $285K
2022 6,947 $339K
2023 12,849 $661K
2024 9,258 $786K

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) 52,338 1,927 $2.88M