Medicaid Provider Spending

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

APEX HOME CARE

NPI: 1811352495 · BLUE ASH, OH 45241 · Home Health Agency · NPI assigned 12/23/2015

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.

$3.38M
Total Medicaid Paid
41,302
Total Claims
1,722
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialKATS, LILLIA (ADMINISTRATOR)
NPI Enumeration Date12/23/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,048 $850K
2019 6,998 $594K
2020 3,685 $362K
2021 1,741 $165K
2022 2,318 $194K
2023 9,026 $162K
2024 7,486 $1.05M

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) 41,302 1,722 $3.38M