Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › Monticello › NPI 1871632190
Clinic

Horizon Adult Health Care LLC

Horizon Adult Health Care LLC was paid $3.05M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is S5100, Day care services, adult; per 15 minutes — 98% of everything it billed.

33Billing provider infoHORIZON ADULT HEALTH CARE LLC
MONTICELLO, KY 42633
33aNPI1871632190assigned 02/05/2007
28Total paid$3.05M
24GClaims51,994
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Adult Day Care Clinic/Center providers in Kentucky

Rank by total paid#26 of 55
Median peer was paid$2.80M
This provider vs. median1.1×

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.

Single-Code Concentration98% of spending on code S5100 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$25K$50K$75K2018201920202021202220232024
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
201811,519$696K
201911,097$696K
202011,178$417K
20215,793$361K
20225,382$360K
20234,055$288K
2024incomplete2,970$233K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S5100 Day care services, adult; per 15 minutes 98% 47,010 3,204 $2.99M
S5170 Home delivered meals, including preparation; per meal 2.1% 4,984 268 $63K

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 officialUPCHURCH, KELLY (PRESIDENT & CEO)
Same official

Other billing entities under UPCHURCH, KELLY

Full network →
ProviderLocationPaid
American Health Management, INC.Richmond, KY$99.38M
Horizon Adult Health Care LLCHarlan, KY$3.80M
American Health Management, INC.Whitley City, KY$3.58M
American Health Management, INC.Irvine, KY$2.94M
Horizon Adult Health Care LLCAlbany, KY$2.78M
Horizon Adult Health Care LLCPineville, KY$2.34M
American Health Management, INCMt. 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

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