Medicaid Provider Spending

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

SEMO ALLIANCE FOR DISABILITY INDEPENDENCE, INC.

NPI: 1760576425 · CAPE GIRARDEAU, MO 63703 · Home Health Agency · NPI assigned 10/03/2006

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

95% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.

$27.44M
Total Medicaid Paid
568,402
Total Claims
32,079
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGUDERMUTH, MARYANN (EXECUTIVE DRIECTOR)
NPI Enumeration Date10/03/2006

Related Entities

Other providers sharing the same authorized official: GUDERMUTH, MARYANN

ProviderCityStateTotal Paid
SEMO ALLIANCE FOR DISABILITY INDEPENDENCE CAPE GIRARDEAU MO $9.35M
SEMO ALLIANCE FOR DISABILITY INDEPENDENCE, INC. CAPE GIRARDEAU MO $666K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 106,680 $4.51M
2019 93,172 $3.94M
2020 92,545 $3.99M
2021 81,425 $3.67M
2022 69,016 $3.61M
2023 60,492 $3.83M
2024 65,072 $3.89M

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) 541,656 23,672 $26.18M
T1001 Nursing assessment / evaluation 26,690 8,351 $1.26M
T1019SC 56 56 $0.00