Medicaid Provider Spending

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

NPI: 1902238090 · LAKE WORTH, FL 33467 · Contractor · NPI assigned 07/31/2013

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

95% of spending on code S5165 with only 3 total codes billed. Highly concentrated billing profile.

$1.69M
Total Medicaid Paid
1,293
Total Claims
1,067
Beneficiaries
3
Codes Billed
2018-12
First Month
2021-01
Last Month

Provider Details

Authorized OfficialMODRIC, SUNSHINE (PRESIDENT)
NPI Enumeration Date07/31/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 20 $13K
2019 712 $1.12M
2020 549 $535K
2021 12 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5165 Home modifications; per service 894 682 $1.61M
G9005 Coordinated care fee, risk adjusted maintenance 212 200 $51K
G9006 Coordinated care fee, home monitoring 187 185 $31K