Medicaid Provider Spending

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

PROACTIVE HOME CARE MISSOURI, INC.

NPI: 1821479064 · CARTHAGE, MO 64836 · In Home Supportive Care Agency · NPI assigned 06/13/2015

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
7,035
Total Claims
1,831
Beneficiaries
1
Codes Billed
2018-01
First Month
2019-09
Last Month

Provider Details

Authorized OfficialKELLY, ERIC (OWNER AND CEO)
NPI Enumeration Date06/13/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,174 $1.02M
2019 2,861 $707K

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) 7,035 1,831 $1.73M