Medicaid Provider Spending

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

HORIZON ADULT HEALTH CARE LLC

NPI: 1871632190 · MONTICELLO, KY 42633 · Adult Day Care Clinic/Center · NPI assigned 02/05/2007

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

98% of spending on code S5100 with only 2 total codes billed. Highly concentrated billing profile.

$3.05M
Total Medicaid Paid
51,994
Total Claims
3,472
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialUPCHURCH, KELLY (PRESIDENT & CEO)
NPI Enumeration Date02/05/2007

Related Entities

Other providers sharing the same authorized official: UPCHURCH, KELLY

ProviderCityStateTotal Paid
AMERICAN HEALTH MANAGEMENT, INC. RICHMOND KY $99.38M
HORIZON ADULT HEALTH CARE LLC HARLAN KY $3.80M
AMERICAN HEALTH MANAGEMENT, INC. WHITLEY CITY KY $3.58M
AMERICAN HEALTH MANAGEMENT, INC. IRVINE KY $2.94M
HORIZON ADULT HEALTH CARE LLC ALBANY KY $2.78M
HORIZON ADULT HEALTH CARE LLC PINEVILLE KY $2.34M
AMERICAN HEALTH MANAGEMENT, INC MT. VERNON KY $2.10M
AMERICAN HEALTH MANAGEMENT, INC. WILLIAMSBURG KY $2.05M
AMERICAN HEALTH MANAGEMENT, INC. MCKEE KY $1.81M
AMERICAN HEALTH MANAGEMENT, INC. MANCHESTER KY $599K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,519 $696K
2019 11,097 $696K
2020 11,178 $417K
2021 5,793 $361K
2022 5,382 $360K
2023 4,055 $288K
2024 2,970 $233K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5100 Day care services, adult; per 15 minutes 47,010 3,204 $2.99M
S5170 Home delivered meals, including preparation; per meal 4,984 268 $63K