Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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HEARTS THAT CARE HOME CARE AGENCY LLC

NPI: 1689122251 · CARROLLTON, TX 75006 · In Home Supportive Care Agency · NPI assigned 09/13/2016

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

99% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.

$6.31M
Total Medicaid Paid
114,200
Total Claims
4,278
Beneficiaries
2
Codes Billed
2018-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSONI, MRUGESHKUMAR (ALTERNATE ADMINISTRATOR)
NPI Enumeration Date09/13/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 36 $6K
2020 2,810 $107K
2021 22,271 $1.11M
2022 28,339 $1.37M
2023 25,707 $1.45M
2024 35,037 $2.26M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5125 Attendant care services; per 15 minutes 113,164 4,200 $6.25M
T1005 Respite care services, up to 15 minutes 1,036 78 $58K