Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › MILWAUKEE › KINGLY COMMUNITY RESOURCE CENTER

KINGLY COMMUNITY RESOURCE CENTER

NPI: 1881133627 · MILWAUKEE, WI 53212 · Case Management Agency · NPI assigned 02/13/2017

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

100% of spending on code T1016 with only 2 total codes billed. Highly concentrated billing profile.

$1.37M
Total Medicaid Paid
26,606
Total Claims
3,751
Beneficiaries
2
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialRANDOLPH, ROBERT (OWNER)
NPI Enumeration Date02/13/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,292 $164K
2019 4,461 $279K
2020 5,993 $305K
2021 6,017 $293K
2022 4,037 $195K
2023 3,806 $135K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1016 Case management, each 15 minutes 26,468 3,664 $1.37M
H1004 Prenatal care, at-risk enhanced service; follow-up home visit 138 87 $4K