Medicaid Provider Spending

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

SHEA HOME CARE, INC.

NPI: 1801106927 · SAINT LOUIS, MO 63132 · In Home Supportive Care Agency · NPI assigned 10/08/2010

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

100% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.

$11.39M
Total Medicaid Paid
226,085
Total Claims
7,681
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSEYER, DARLENE (PRESIDENT)
NPI Enumeration Date10/08/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 35,254 $2.01M
2019 31,718 $1.71M
2020 42,746 $1.62M
2021 50,987 $1.53M
2022 24,201 $1.55M
2023 21,098 $1.56M
2024 20,081 $1.40M

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) 225,635 7,506 $11.37M
T1001 Nursing assessment / evaluation 412 137 $17K
T1028 Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs 38 38 $3K