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

Wecare Medical Somerset, LLC

Wecare Medical Somerset, LLC was paid $421K by Medicaid between Jan 2018 and May 2023, across 19 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 50% of everything it billed.

33Billing provider infoWECARE MEDICAL SOMERSET, LLC
MONTICELLO, KY 42633
33aNPI1861774945assigned 09/14/2011
28Total paid$421K
24GClaims20,783
24DCodes billed19
24AFirst – last monthJan 2018 – May 2023
Compared with peers

Next to other Oxygen Equipment & Supplies (DME) providers in Kentucky

Rank by total paid#16 of 39
Median peer was paid$356K
This provider vs. median1.2×

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.

Entity ProliferationAuthorized official GRIGGS, STEPHEN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
20183,739$87K
20193,590$71K
20203,826$72K
20213,870$78K
20223,792$72K
20231,966$41K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 50% 6,954 6,063 $210K
E0601 Continuous positive airway pressure (cpap) device 17% 2,602 2,329 $73K
E0570 Nebulizer, with compressor 10% 2,080 1,718 $42K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 6.9% 4,644 4,001 $29K
E0562 Humidifier, heated, used with positive airway pressure device 5.5% 1,044 962 $23K
E0260 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress 4.1% 1,004 863 $17K
K0004 High strength, lightweight wheelchair 2.0% 430 397 $8K
K0003 Lightweight wheelchair 1.8% 570 477 $8K
A7031 Face mask interface, replacement for full face mask, each <1% 110 103 $2K
K0001 Standard wheelchair <1% 245 210 $2K
A4604 Tubing with integrated heating element for use with positive airway pressure device <1% 55 50 $1K
E0973 Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each <1% 579 277 $1K
7 more codes
A7035 Headgear used with positive airway pressure device <1% 95 $893.52
A7030 Full face mask used with positive airway pressure device, each <1% 15 $593.59
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable <1% 74 $531.21
A7038 Filter, disposable, used with positive airway pressure device <1% 231 $496.27
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips <1% 13 $417.10
A7039 Filter, non disposable, used with positive airway pressure device <1% 12 $44.02
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 26 $35.10

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 officialGRIGGS, STEPHEN (CEO)
Parent organizationWECARE MEDICAL, LLC
Same official

Other billing entities under GRIGGS, STEPHEN

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