Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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HEALTH PLANNING COUNCIL OF SOUTHWEST FLORIDA, INC

NPI: 1750477659 · SARASOTA, FL 34235 · Home Health Agency · NPI assigned 10/05/2006

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

100% of spending on code T1017 with only 1 total codes billed. Highly concentrated billing profile.

$1.28M
Total Medicaid Paid
40,237
Total Claims
18,010
Beneficiaries
1
Codes Billed
2022-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPEDRAZA, ANNA (DATA ANALYST)
NPI Enumeration Date10/05/2006

Related Entities

Other providers sharing the same authorized official: PEDRAZA, ANNA

ProviderCityStateTotal Paid
HEALTH PLANNING COUNCIL OF SOUTHWEST FLORIDA, INC FORT MYERS FL $4.73M
HEALTH PLANNING COUNCIL OF SOUTHWEST FLORIDA, INC FORT MYERS FL $625K
HEALTH PLANNING COUNCIL OF SOUTHWEST FLORIDA, INC SARASOTA FL $299K
HEALTH PLANNING COUNCIL OF SOUTHWEST FLORIDA, INC SARASOTA FL $255K
HEALTH PLANNING COUNCIL OF SOUTHWEST FLORIDA, INC FORT MYERS FL $167K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 11,596 $361K
2023 15,297 $490K
2024 13,344 $433K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1017 Targeted case management, each 15 minutes 40,237 18,010 $1.28M