Medicaid Provider Spending

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

BRAXTON COUNTY SENIOR CITIZENS CENTER, INC.

NPI: 1740609973 · SUTTON, WV 26601 · Personal Care Attendant · NPI assigned 04/15/2014

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

98% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.

$6.57M
Total Medicaid Paid
26,359
Total Claims
13,149
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialCHAPMAN, MARY (EXECUTIVE DIRECTOR)
NPI Enumeration Date04/15/2014

Related Entities

Other providers sharing the same authorized official: CHAPMAN, MARY

ProviderCityStateTotal Paid
BRAXTON COUNTY SENIOR CITIZENS CENTER, INC. SUTTON WV $6.25M
LASALLE EDUCATIONALAL ALLIANCE FOR SPECIAL EDUCATION OTTAWA IL $379K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,545 $1.55M
2019 3,357 $1.46M
2020 2,708 $1.41M
2021 6,720 $1.28M
2022 9,894 $877K
2023 111 $2K
2024 24 $462.40

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) 19,478 6,341 $6.45M
T1002 Rn services, up to 15 minutes 6,568 6,498 $94K
T1001 Nursing assessment / evaluation 313 310 $35K