Medicaid Provider Spending

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

ANNA DODSON HOME LLC

NPI: 1902369663 · FARMINGTON, MO 63640 · Mental Illness Community Based Residential Treatment Facility · NPI assigned 04/10/2019

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

98% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

$1.25M
Total Medicaid Paid
3,511
Total Claims
2,098
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialMCDOWELL, PENNY (MAIN MEMBER/ADMINISTRATOR)
NPI Enumeration Date04/10/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 383 $86K
2019 308 $71K
2020 538 $173K
2021 583 $201K
2022 631 $275K
2023 611 $245K
2024 457 $201K

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) 3,173 1,779 $1.23M
T1001 Nursing assessment / evaluation 338 319 $21K