Medicaid Provider Spending

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

NPI: 1679926562 · MILWAUKEE, WI 53214 · Case Management Agency · NPI assigned 07/15/2016

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

100% of spending on code T1016 with only 3 total codes billed. Highly concentrated billing profile.

$5.30M
Total Medicaid Paid
92,133
Total Claims
14,895
Beneficiaries
3
Codes Billed
2018-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialWHITMORE, CASSANDRA (PROGRAM DIRECTOR)
NPI Enumeration Date07/15/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,950 $477K
2019 17,152 $831K
2020 17,401 $980K
2021 14,858 $962K
2022 14,285 $1.02M
2023 19,487 $1.03M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1016 Case management, each 15 minutes 91,593 14,369 $5.28M
H1002 Prenatal care, at risk enhanced service; care coordination 259 254 $12K
H1000 Prenatal care, at-risk assessment 281 272 $10K