Medicaid Provider Spending

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

LI, XUE

NPI: 1699249276 · FLUSHING, NY 11355 · Acupuncturist · NPI assigned 01/16/2019

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

100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.

$10.10M
Total Medicaid Paid
77,901
Total Claims
3,869
Beneficiaries
1
Codes Billed
2020-04
First Month
2023-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 11,733 $1.51M
2021 23,319 $2.92M
2022 35,708 $4.65M
2023 7,141 $1.02M

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) 77,901 3,869 $10.10M