Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Residential

Certicare, INC

Certicare, INC was paid $9.80M by Medicaid between Jan 2018 and Dec 2024, across 1 billing code. Its largest line is S5125, attendant care at home, billed per 15 minutes — 100% of everything it billed.

33Billing provider infoCERTICARE, INC
RUSTON, LA 71270
33aNPI1841499241assigned 07/16/2007
28Total paid$9.80M
24GClaims66,527
24DCodes billed1
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Louisiana

Rank by total paid#8 of 27
Median peer was paid$5.95M
This provider vs. median1.6×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code S5125 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
20184,216$528K
20194,343$820K
20209,406$1.30M
20219,592$1.31M
202211,775$1.73M
202314,921$2.16M
2024incomplete12,274$1.96M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S5125 Attendant care at home, billed per 15 minutesAttendant care services; per 15 minutes 100% 66,527 2,560 $9.80M

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialDOUGLAS, MICHAEL (PRESIDENT)
Same official

Other billing entities under DOUGLAS, MICHAEL

Full network →
ProviderLocationPaid
Certicare,inc.Bossier City, LA$3.86M
Baltimore Cares, INC.Baltimore, MD$2.69M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.