Medicaid Provider Spending

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

CHEROKEE RESIDENTIAL CARE ACQUISITION, LLC

NPI: 1730568874 · SAINT LOUIS, MO 63118 · Assisted Living Facility · NPI assigned 05/21/2015

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

97% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

$4.30M
Total Medicaid Paid
7,514
Total Claims
4,072
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPATE, JOANN (PRESIDENT)
NPI Enumeration Date05/21/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 853 $371K
2019 865 $374K
2020 1,647 $561K
2021 1,304 $636K
2022 1,149 $783K
2023 899 $803K
2024 797 $776K

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) 5,591 2,401 $4.16M
T1001 Nursing assessment / evaluation 1,923 1,671 $148K