RES-CARE PREMIER, INC. · NPI 1679759393

Billing Flags · Automated signals — not evidence of fraud

Single-Code Concentration

100% of spending on code H2016 with only 1 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official PEMBERTON, MARGARET controls 20+ related entities in our dataset. Read more

$1.17M

Total Medicaid Paid

242

Total Claims

192

Beneficiaries

Codes Billed

2023-08

First Month

2024-11

Last Month

Provider Details

Authorized Official	PEMBERTON, MARGARET (VICE PRESIDENT & DIRECTOR)
NPI Enumeration Date	01/11/2008

Related Entities

Provider	City	State	Total Paid
CREATIVE NETWORKS, L.L.C.	PHOENIX	AZ	$159.68M
SOUTHERN HOME CARE SERVICES, INC.	BETHEL	AK	$68.79M
RES-CARE WASHINGTON, INC	COEUR D ALENE	ID	$31.64M
SOUTHERN HOME CARE SERVICES, INC.	OPELOUSAS	LA	$10.67M
SOUTHERN HOME CARE SERVICES, INC.	AIKEN	SC	$6.65M
SOUTHERN HOME CARE SERVICES, INC.	MISSOULA	MT	$5.30M
RES-CARE OKLAHOMA, INC.	OKLAHOMA CITY	OK	$5.18M
ADORATION HOSPICE, LLC	MADISON	TN	$2.74M
SOUTHERN HOME CARE SERVICES, INC.	GREENWOOD	SC	$1.52M
SOUTHERN HOME CARE SERVICES, INC	JENNINGS	LA	$1.18M
SHC MEDICAL PARTNERS OF FLORIDA, LLC	PENSACOLA	FL	$425K
SOUTHERN HOME CARE SERVICES, INC.	CLEARWATER	FL	$421K
ICP ARKANSAS ACO BILLING LLC	MAUMELLE	AR	$345K
RES-CARE WASHINGTON, INC.	NAMPA	ID	$274K
ADORATION HOME HEALTH CARE VIRGINIA LLC	WISE	VA	$257K
RES-CARE WASHINGTON, INC.	BOISE	ID	$220K
PROGRESSIVE REHABILITATION ASSOCIATES LLC	PORTLAND	OR	$105K
RWW OUTPATIENT REHAB SERVICES, LLC	GOODYEAR	AZ	$70K
HOME HEALTH CARE SERVICES II, INC.	CLEVELAND	MS	$53K
RWW OUTPATIENT REHAB SERVICES, LLC	HENDERSONVILLE	TN	$25K

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2023	77	$366K
2024	165	$805K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
H2016	Comprehensive community support services, per diem	242	192	$1.17M