Medicaid Provider Spending

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

HORIZON HOME CARE LLC

NPI: 1710343025 · KANSAS CITY, MO 64110 · Home Health Agency · NPI assigned 01/04/2016

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

99% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

$8.31M
Total Medicaid Paid
92,738
Total Claims
6,652
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialELMI, MUSE (OWNER)
NPI Enumeration Date01/04/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,333 $754K
2019 4,355 $1.04M
2020 3,280 $1.31M
2021 21,095 $1.38M
2022 22,940 $1.28M
2023 20,183 $1.30M
2024 17,552 $1.25M

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) 90,595 6,003 $8.21M
T1001 Nursing assessment / evaluation 2,143 649 $94K