Medicaid Provider Spending

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

TRUCARE CONNECTIONS INC

NPI: 1881129781 · ROCHESTER, NY 14623 · Home Health Agency · NPI assigned 04/27/2017

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

94% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.

$104.36M
Total Medicaid Paid
594,654
Total Claims
26,058
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialADHIKARI, YOGESH (CFO)
NPI Enumeration Date04/27/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,312 $3.32M
2019 50,668 $8.35M
2020 89,323 $13.06M
2021 99,427 $16.10M
2022 101,333 $17.58M
2023 118,043 $22.47M
2024 123,548 $23.47M

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) 572,364 24,901 $98.56M
T1020 Personal care services, per diem, 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) 21,956 823 $5.71M
99199 Unlisted special service, procedure or report 334 334 $78K