Medicaid Provider Spending

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

GOWDY ENTERPRISES, LLC

NPI: 1669848305 · SAINT LOUIS, MO 63114 · Home Health Agency · NPI assigned 08/17/2015

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.

$4.27M
Total Medicaid Paid
21,039
Total Claims
2,676
Beneficiaries
1
Codes Billed
2018-01
First Month
2023-02
Last Month

Provider Details

Authorized OfficialGOWDY, MELANIE (DIRECTOR)
NPI Enumeration Date08/17/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,298 $831K
2019 5,385 $966K
2020 5,673 $940K
2021 3,575 $798K
2022 1,974 $665K
2023 134 $75K

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) 21,039 2,676 $4.27M