Medicaid Provider Spending

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

A BETTER OPTION LLC

NPI: 1780091827 · FLORISSANT, MO 63033 · Home Health Agency · NPI assigned 07/22/2014

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

100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.

$6.60M
Total Medicaid Paid
20,482
Total Claims
3,619
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPAYNES, SHARON (EXECUTIVE DIRECTOR)
NPI Enumeration Date07/22/2014

Related Entities

Other providers sharing the same authorized official: PAYNES, SHARON

ProviderCityStateTotal Paid
A BETTER OPTION IHS LLC FLORISSANT MO $1.07M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,667 $758K
2019 2,892 $901K
2020 3,049 $937K
2021 3,376 $1.01M
2022 3,126 $1.05M
2023 3,164 $1.12M
2024 2,208 $828K

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) 20,482 3,619 $6.60M