Medicaid Provider Spending

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

SE WA OFFICE OF AGING & LONG TERM CARE

NPI: 1831522077 · YAKIMA, WA 98908 · Case Management Agency · NPI assigned 08/12/2013

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

96% of spending on code G9149 with only 3 total codes billed. Highly concentrated billing profile.

$6.70M
Total Medicaid Paid
41,134
Total Claims
39,670
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBROWN, LORI (DIRECTOR)
NPI Enumeration Date08/12/2013

Related Entities

Other providers sharing the same authorized official: BROWN, LORI

ProviderCityStateTotal Paid
INOVA VNA HOME HEALTH FAIRFAX VA $344K
RETINA CONSULTANTS OF DELMARVA PA SALISBURY MD $330K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,118 $1.25M
2019 7,179 $1.12M
2020 6,451 $1.03M
2021 6,772 $1.09M
2022 5,839 $411K
2023 4,250 $1.04M
2024 2,525 $759K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G9149 National committee for quality assurance - level 2 medical home 39,241 37,866 $6.41M
G9148 National committee for quality assurance - level 1 medical home 890 807 $224K
G9150 National committee for quality assurance - level 3 medical home 1,003 997 $62K