Medicaid Provider Spending

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

CARE ENTERPRISES, LLC

NPI: 1851956247 · SPRINGFIELD, MO 65806 · Adult Care Home Facility · NPI assigned 05/01/2019

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

99% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

$1.34M
Total Medicaid Paid
3,532
Total Claims
2,351
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMCCRARY, KATHY (PARTNER)
NPI Enumeration Date05/01/2019

Related Entities

Other providers sharing the same authorized official: MCCRARY, KATHY

ProviderCityStateTotal Paid
JOYCO, INC. SPRINGFIELD MO $1.33M
K & J CARE ENTERPRISES, INC. CLINTON MO $1.14M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 349 $100K
2019 338 $108K
2020 574 $206K
2021 592 $241K
2022 667 $301K
2023 593 $202K
2024 419 $179K

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) 3,238 2,132 $1.32M
T1001 Nursing assessment / evaluation 294 219 $16K