Medicaid Provider Spending

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

WHOLEHEARTED HOME HEALTHCARE, LLC

NPI: 1790215366 · SAINT LOUIS, MO 63120 · Home Health Agency · NPI assigned 06/15/2017

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.

$2.92M
Total Medicaid Paid
25,408
Total Claims
1,658
Beneficiaries
1
Codes Billed
2019-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBROWN, TIFFANY (OWNER)
NPI Enumeration Date06/15/2017

Related Entities

Other providers sharing the same authorized official: BROWN, TIFFANY

ProviderCityStateTotal Paid
SCARAB BEHAVIORAL HEALTH SERVICES, LLC NASHVILLE TN $3.19M
SMILEY DENTAL ASSOCIATES INC. NASHVILLE TN $3.16M
360 MENTAL HEALTH, LLC NEW IBERIA LA $2.04M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 364 $131K
2020 2,014 $317K
2021 6,181 $464K
2022 5,103 $574K
2023 4,554 $613K
2024 7,192 $818K

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) 25,408 1,658 $2.92M