Medicaid Provider Spending

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

BLUE HILLS REST HOME INC.

NPI: 1750442026 · INDEPENDENCE, MO 64058 · Assisted Living Facility · NPI assigned 12/12/2006

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.

$6.54M
Total Medicaid Paid
7,457
Total Claims
5,440
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDUNHAM, ETHEL (ADMINISTRATOR)
NPI Enumeration Date12/12/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 828 $675K
2019 813 $734K
2020 1,342 $898K
2021 1,451 $1.05M
2022 1,405 $1.21M
2023 845 $1.03M
2024 773 $948K

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) 5,771 3,828 $6.47M
T1001 Nursing assessment / evaluation 1,686 1,612 $67K