Medicaid Provider Spending

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

STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH

NPI: 1902980220 · CLAYTON, AL 36106 · Home Health Agency · NPI assigned 10/24/2006

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

98% of spending on code S9123 with only 2 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official WEDGEWORTH, GROVER controls 20+ related entities in our dataset. Read more

$1.21M
Total Medicaid Paid
4,862
Total Claims
1,280
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialWEDGEWORTH, GROVER (STATE HOME CARE DIRECTOR)
Parent OrganizationSTATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH
NPI Enumeration Date10/24/2006

Related Entities

Other providers sharing the same authorized official: WEDGEWORTH, GROVER

ProviderCityStateTotal Paid
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH DOTHAN AL $6.85M
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH MOULTON AL $3.94M
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH SHEFFIELD AL $1.34M
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH ATHENS AL $835K
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH DECATUR AL $580K
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH CULLMAN AL $533K
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH MONTGOMERY AL $484K
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH ENTERPRISE AL $430K
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH GUNTERSVILLE AL $427K
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH DOTHAN AL $389K
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH HALEYVILLE AL $315K
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH CHATOM AL $305K
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH HAMILTON AL $247K
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH DECATUR AL $239K
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH TUSCALOOSA AL $217K
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH PRATTVILLE AL $174K
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH SHEFFIELD AL $152K
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH VERNON AL $138K
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH PRATTVILLE AL $135K
STATE OF ALABAMA DEPARTMENT OF PUBLIC HEALTH TUSCALOOSA AL $108K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 716 $181K
2019 854 $209K
2020 862 $207K
2021 928 $217K
2022 675 $163K
2023 617 $168K
2024 210 $61K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S9123 Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) 4,674 1,243 $1.18M
S9122 Home health aide or certified nurse assistant, providing care in the home; per hour 188 37 $24K