Medicaid Provider Spending

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

A BLUE NURSING CARE INC

NPI: 1760139133 · MIAMI LAKES, FL 33014 · In Home Supportive Care Agency · NPI assigned 03/07/2022

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

94% of spending on code S9122 with only 3 total codes billed. Highly concentrated billing profile.

$1.87M
Total Medicaid Paid
14,346
Total Claims
723
Beneficiaries
3
Codes Billed
2023-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBORROTO, SUSANA (OWNER)
NPI Enumeration Date03/07/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 4,030 $689K
2024 10,316 $1.18M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9122 Home health aide or certified nurse assistant, providing care in the home; per hour 11,803 526 $1.76M
S5130 Homemaker service, nos; per 15 minutes 2,203 172 $82K
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) 340 25 $22K