Medicaid Provider Spending

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

AMERICAN HEALTH MANAGEMENT, INC.

NPI: 1730228065 · IRVINE, KY 40336 · Adult Day Care Clinic/Center · NPI assigned 02/05/2007

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

98% of spending on code S5100 with only 2 total codes billed. Highly concentrated billing profile.

$2.94M
Total Medicaid Paid
53,188
Total Claims
3,690
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialUPCHURCH, KELLY (PRESIDENT & CEO)
NPI Enumeration Date02/05/2007

Related Entities

Other providers sharing the same authorized official: UPCHURCH, KELLY

ProviderCityStateTotal Paid
AMERICAN HEALTH MANAGEMENT, INC. RICHMOND KY $99.38M
HORIZON ADULT HEALTH CARE LLC HARLAN KY $3.80M
AMERICAN HEALTH MANAGEMENT, INC. WHITLEY CITY KY $3.58M
HORIZON ADULT HEALTH CARE LLC MONTICELLO KY $3.05M
HORIZON ADULT HEALTH CARE LLC ALBANY KY $2.78M
HORIZON ADULT HEALTH CARE LLC PINEVILLE KY $2.34M
AMERICAN HEALTH MANAGEMENT, INC MT. VERNON KY $2.10M
AMERICAN HEALTH MANAGEMENT, INC. WILLIAMSBURG KY $2.05M
AMERICAN HEALTH MANAGEMENT, INC. MCKEE KY $1.81M
AMERICAN HEALTH MANAGEMENT, INC. MANCHESTER KY $599K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,501 $597K
2019 11,848 $622K
2020 10,305 $419K
2021 7,335 $413K
2022 5,411 $367K
2023 3,797 $282K
2024 2,991 $239K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5100 Day care services, adult; per 15 minutes 48,665 3,397 $2.87M
S5170 Home delivered meals, including preparation; per meal 4,523 293 $65K