Medicaid Provider Spending

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

METROPACIFIC GROUP, CORP

NPI: 1679106256 · HILO, HI 96720 · Nursing Care Agency · NPI assigned 02/21/2020

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

100% of spending on code S9123 with only 2 total codes billed. Highly concentrated billing profile.

$3.40M
Total Medicaid Paid
14,651
Total Claims
1,005
Beneficiaries
2
Codes Billed
2020-03
First Month
2024-04
Last Month

Provider Details

Authorized OfficialGAPAS, LYDIA (CEO)
NPI Enumeration Date02/21/2020

Related Entities

Other providers sharing the same authorized official: GAPAS, LYDIA

ProviderCityStateTotal Paid
METROPACIFIC GROUP, CORP HILO HI $13.27M
METROPACIFIC GROUP, CORP WAIPAHU HI $2.81M
METROPACIFIC GROUP, CORP HILO HI $2.54M
MACROPHIL, INC. WALNUT CREEK CA $1.51M
METROPACIFIC GROUP, CORP WAILUKU HI $1.27M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 32 $0.00
2021 2,148 $746K
2022 4,695 $910K
2023 6,501 $1.37M
2024 1,275 $366K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9123 Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) 14,619 974 $3.40M
S5130 Homemaker service, nos; per 15 minutes 32 31 $0.00