Medicaid Provider Spending

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

NPI: 1689812059 · PUEBLO, CO 81003 · In Home Supportive Care Agency · NPI assigned 01/23/2009

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

93% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

$2.48M
Total Medicaid Paid
2,439
Total Claims
2,266
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialEDWARDS, WILLIAM (EXECUTIVE DIRECTOR)
Parent OrganizationCENTER FOR DISABILITIES
NPI Enumeration Date01/23/2009

Related Entities

Other providers sharing the same authorized official: EDWARDS, WILLIAM

ProviderCityStateTotal Paid
FEDWARDS DENTAL PC STATEN ISLAND NY $70K
NEHEMIAH FAMILY SERVICES DODGE CENTER MN $7K
WILLIAM H. EDWARDS M.D. PC SALEM NH $611.38

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 281 $225K
2019 302 $271K
2020 287 $320K
2021 332 $324K
2022 336 $373K
2023 400 $460K
2024 501 $509K

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) 2,085 1,943 $2.31M
S5130 Homemaker service, nos; per 15 minutes 354 323 $170K