Medicaid Provider Spending

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

HERITAGE HEALTH MANAGEMENT 1, LLC

NPI: 1831260272 · GLADSTONE, MO 64119 · Assisted Living Facility · NPI assigned 11/09/2006

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.

$1.47M
Total Medicaid Paid
3,305
Total Claims
2,073
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSCHECHTER, DAVID (MANAGING MEMBER)
NPI Enumeration Date11/09/2006

Related Entities

Other providers sharing the same authorized official: SCHECHTER, DAVID

ProviderCityStateTotal Paid
HERITAGE AVONLEA OF OLATHE LLC OLATHE KS $3.82M
DAVID SCHECHTER MD FACC PC FLUSHING NY $400K
HERITAGE HEALTH MANAGEMENT 2 LLC PLATTE CITY MO $287K
PREVENTIVE CARDIAC CARE CORP RICHMOND HILL NY $21K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 425 $168K
2019 438 $209K
2020 693 $295K
2021 659 $317K
2022 596 $247K
2023 228 $94K
2024 266 $140K

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) 3,305 2,073 $1.47M