Medicaid Provider Spending

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

SILEX RESIDENTIAL HOME LLC

NPI: 1821470436 · SILEX, MO 63377 · Assisted Living Facility · NPI assigned 06/19/2015

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

99% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

$2.41M
Total Medicaid Paid
9,893
Total Claims
6,770
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPRICE, LAMONA (OWNER/ADMINISTRATOR)
NPI Enumeration Date06/19/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,038 $285K
2019 1,125 $264K
2020 1,541 $390K
2021 1,745 $455K
2022 1,896 $486K
2023 1,473 $311K
2024 1,075 $219K

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) 6,922 3,861 $2.39M
T1001 Nursing assessment / evaluation 2,971 2,909 $15K