Medicaid Provider Spending

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

ARENA MANOR, INC.

NPI: 1861549099 · SAINT LOUIS, MO 63118 · Assisted Living Facility · NPI assigned 01/03/2007

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

97% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.

$5.16M
Total Medicaid Paid
9,561
Total Claims
5,278
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPATE, JODI (DIRECTOR OF NURSING)
NPI Enumeration Date01/03/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,235 $479K
2019 1,241 $494K
2020 2,052 $698K
2021 1,599 $768K
2022 1,335 $886K
2023 1,025 $915K
2024 1,074 $920K

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) 6,755 2,867 $5.00M
T1001 Nursing assessment / evaluation 2,794 2,399 $161K
T1028 Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs 12 12 $900.00