Medicaid Provider Spending

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

SOUTH SHORE HOME HEALTH SERVICE, INC.

NPI: 1821361429 · RONKONKOMA, NY 11779 · Case Management Agency · NPI assigned 02/14/2012

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.

Entity Proliferation

Authorized official ANDERSON, DARBY controls 20+ related entities in our dataset. Read more

$7.80M
Total Medicaid Paid
39,400
Total Claims
1,774
Beneficiaries
1
Codes Billed
2019-06
First Month
2024-09
Last Month

Provider Details

Authorized OfficialANDERSON, DARBY (EVP CHIEF STRATEGY OFFICER)
NPI Enumeration Date02/14/2012

Related Entities

Other providers sharing the same authorized official: ANDERSON, DARBY

ProviderCityStateTotal Paid
GIRLING HEALTH CARE, INC. AUSTIN TX $858.20M
SOUTH SHORE HOME HEALTH SERVICE, INC. RONKONKOMA NY $356.44M
CURA PARTNERS, LLC JOHNSON CITY TN $49.26M
A PLUS HEALTH CARE INC KALISPELL MT $28.19M
ADDUS HEALTHCARE (SOUTH CAROLINA), INC. WINTERSVILLE OH $25.57M
ADDUS HEALTHCARE, INC. DETROIT MI $18.48M
ADDUS HEALTH CARE INC ROLLA MO $15.75M
ADDUS HEALTH CARE INC BRINKLEY AR $13.06M
ADDUS HEALTHCARE (SOUTH CAROLINA), INC. COLUMBIA SC $12.17M
ADDUS HEALTHCARE, INC. SANTA FE NM $10.55M
PRIORITY HOME HEALTH CARE, INC MIDDLEBURG HEIGHTS OH $9.15M
PRAC HOLDINGS, INC. PHOENIX AZ $8.92M
COUNTY HOMEMAKERS INC DU BOIS PA $8.58M
ADDUS HEALTHCARE (SOUTH CAROLINA), INC. NORTH WILKESBORO NC $7.19M
ADDUS HEALTH CARE INC ROLLA MO $6.63M
ADDUS HEALTHCARE, INC. MERIDIAN ID $6.15M
PRAC HOLDINGS, INC. MARQUETTE MI $5.97M
ADDUS HEALTHCARE (SOUTH CAROLINA), INC. SUMTER SC $5.49M
ADDUS HEALTHCARE (SOUTH CAROLINA), INC. GREENVILLE SC $4.49M
ADDUS HEALTH CARE INC ROLLA MO $4.31M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 2,874 $566K
2020 4,667 $703K
2021 1,466 $229K
2022 3,359 $701K
2023 16,050 $3.27M
2024 10,984 $2.33M

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) 39,400 1,774 $7.80M