Medicaid Provider Spending

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

PROFESSIONAL HEALTHCARE, LLC

NPI: 1831297019 · RALEIGH, NC 27609 · Home Health Agency · NPI assigned 09/20/2006

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

100% of spending on code T1000 with only 3 total codes billed. Highly concentrated billing profile.

$17.57M
Total Medicaid Paid
35,824
Total Claims
1,732
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOVELL, MIKE (VICE PRESIDENT)
NPI Enumeration Date09/20/2006

Related Entities

Other providers sharing the same authorized official: LOVELL, MIKE

ProviderCityStateTotal Paid
24-SEVEN HOME HEALTH LLC COVINA CA $20.91M
J & K STAFFING SOLUTIONS, LLC SALEM NH $19.26M
TEAMSELECT HOME CARE OF COLORADO, LLC BROOMFIELD CO $4.53M
TOGETHER HOMECARE OF INDIANAPOLIS LLC INDIANAPOLIS IN $2.37M
TOGETHER HOMECARE OF FORT WAYNE LLC FORT WAYNE IN $1.89M
TEAM SELECT HOME CARE OF INDIANA, LLC KOKOMO IN $809K
TOGETHER HOMECARE OF GREENWOOD LLC GREENWOOD IN $352K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,576 $2.01M
2019 5,596 $2.75M
2020 6,982 $3.49M
2021 4,577 $2.25M
2022 4,084 $2.23M
2023 3,434 $1.84M
2024 6,575 $3.00M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1000 Private duty / independent nursing service(s) - licensed, up to 15 minutes 35,467 1,536 $17.49M
T1005 Respite care services, up to 15 minutes 195 38 $69K
A4927 Gloves, non-sterile, per 100 162 158 $8K