Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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FROM OUR HEART HOME CARE

NPI: 1851755334 · ROCKY MOUNT, NC 27804 · Home Health Agency · NPI assigned 04/11/2016

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

94% of spending on code 99509 with only 2 total codes billed. Highly concentrated billing profile.

$4.68M
Total Medicaid Paid
104,567
Total Claims
3,249
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTHOMAS, BRIAN (AGENCY DIRECTOR)
NPI Enumeration Date04/11/2016

Related Entities

Other providers sharing the same authorized official: THOMAS, BRIAN

ProviderCityStateTotal Paid
JEFFERSON HOSPITAL ASSOCIATION, INC PINE BLUFF AR $303K
JEFFERSON HOSPITAL ASSOCIATION, INC PINE BLUFF AR $171K
BRIAN THOMAS PSY D PLLC TUPELO MS $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,783 $419K
2019 12,036 $428K
2020 12,996 $501K
2021 14,939 $519K
2022 14,814 $757K
2023 17,630 $924K
2024 19,369 $1.13M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99509 Home visit for assistance with activities of daily living and personal care 101,688 3,161 $4.38M
S5125 Attendant care services; per 15 minutes 2,879 88 $302K