Medicaid Provider Spending

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

COTONEASTER CDS,LLC

NPI: 1811375934 · CARUTHERSVILLE, MO 63830 · Home Health Agency · NPI assigned 05/08/2015

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.

$1.73M
Total Medicaid Paid
32,554
Total Claims
1,440
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, PAULA (MEMBER)
NPI Enumeration Date05/08/2015

Related Entities

Other providers sharing the same authorized official: SMITH, PAULA

ProviderCityStateTotal Paid
COTONEASTER INCORPORATED CARUTHERSVILLE MO $13.12M
DQHHA EQUIPMENT & SUPPLY, INC. DE QUEEN AR $63K
DQHHA EQUIPMENT & SUPPLY, INC. MENA AR $48K
CAPE MAY COUNTY TECHNICAL SCHOOL DISTRICT CAPE MAY COURT HOUSE NJ $1K
AMJAD UZAIR WYNE, M.D. P.C. CHRISTIANSBURG VA $674.33

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,114 $187K
2019 3,779 $169K
2020 4,340 $206K
2021 4,616 $249K
2022 4,743 $265K
2023 5,116 $304K
2024 5,846 $351K

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) 32,554 1,440 $1.73M