Medicaid Provider Spending

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

EVOLVE EMOD LLC

NPI: 1699182212 · SALT LAKE CITY, UT 84121 · Chore Provider · NPI assigned 07/15/2014

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

98% of spending on code S5165 with only 3 total codes billed. Highly concentrated billing profile.

$23.89M
Total Medicaid Paid
15,160
Total Claims
13,376
Beneficiaries
3
Codes Billed
2018-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWINAKOR, ANDREW (MEMBER)
NPI Enumeration Date07/15/2014

Related Entities

Other providers sharing the same authorized official: WINAKOR, ANDREW

ProviderCityStateTotal Paid
NATIONAL MEDTRANS, LLC ISLANDIA NY $118.70M
METROPOLITAN MEDICAL TRANSPORTATION IPA, LLC ISLANDIA NY $67.50M
NATIONAL MEDTRANS NETWORK INC. RONKONKOMA NY $8.87M
CALIFORNIA MEDTRANS NETWORK IPA LLC ISLANDIA NY $475K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 730 $1.02M
2019 2,017 $3.03M
2020 2,291 $3.50M
2021 1,935 $3.08M
2022 1,970 $3.06M
2023 3,125 $4.82M
2024 3,092 $5.40M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5165 Home modifications; per service 12,317 10,555 $23.39M
G9006 Coordinated care fee, home monitoring 2,700 2,686 $397K
A9999 Miscellaneous dme supply or accessory, not otherwise specified 143 135 $104K