Medicaid Provider Spending

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

AMERICAN HEALTH MANAGEMENT, INC

NPI: 1902945108 · MT. VERNON, KY 40456 · Adult Day Care Clinic/Center · NPI assigned 02/05/2007

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

94% of spending on code S5100 with only 2 total codes billed. Highly concentrated billing profile.

$2.10M
Total Medicaid Paid
40,698
Total Claims
2,759
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialUPCHURCH, KELLY (PRESIDENT & CEO)
NPI Enumeration Date02/05/2007

Related Entities

Other providers sharing the same authorized official: UPCHURCH, KELLY

ProviderCityStateTotal Paid
AMERICAN HEALTH MANAGEMENT, INC. RICHMOND KY $99.38M
HORIZON ADULT HEALTH CARE LLC HARLAN KY $3.80M
AMERICAN HEALTH MANAGEMENT, INC. WHITLEY CITY KY $3.58M
HORIZON ADULT HEALTH CARE LLC MONTICELLO KY $3.05M
AMERICAN HEALTH MANAGEMENT, INC. IRVINE KY $2.94M
HORIZON ADULT HEALTH CARE LLC ALBANY KY $2.78M
HORIZON ADULT HEALTH CARE LLC PINEVILLE KY $2.34M
AMERICAN HEALTH MANAGEMENT, INC. WILLIAMSBURG KY $2.05M
AMERICAN HEALTH MANAGEMENT, INC. MCKEE KY $1.81M
AMERICAN HEALTH MANAGEMENT, INC. MANCHESTER KY $599K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,972 $404K
2019 7,049 $387K
2020 9,146 $297K
2021 5,950 $244K
2022 3,975 $260K
2023 3,377 $256K
2024 3,229 $250K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5100 Day care services, adult; per 15 minutes 31,726 2,212 $1.97M
S5170 Home delivered meals, including preparation; per meal 8,972 547 $129K