Medicaid Provider Spending

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

ROYAL DIRECT CARE SERVICES

NPI: 1891935219 · SAINT ANN, MO 63074 · Home Health Agency · NPI assigned 02/25/2009

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

100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.

$1.44M
Total Medicaid Paid
12,087
Total Claims
909
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-04
Last Month

Provider Details

Authorized OfficialGILLISPIE, ADRAIN (CEO)
NPI Enumeration Date02/25/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,367 $347K
2019 1,088 $295K
2020 565 $218K
2021 142 $58K
2022 2,687 $158K
2023 4,840 $278K
2024 1,398 $85K

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) 12,087 909 $1.44M