Medicaid Provider Spending

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

TROY HOUSE RESIDENTIAL CARE INC.

NPI: 1912114869 · TROY, MO 63379 · Assisted Living Facility · NPI assigned 05/17/2007

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

100% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

$1.13M
Total Medicaid Paid
2,739
Total Claims
1,325
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSTUBBLEFIELD, JESSICA (OFFICE MANAGER)
NPI Enumeration Date05/17/2007

Related Entities

Other providers sharing the same authorized official: STUBBLEFIELD, JESSICA

ProviderCityStateTotal Paid
GARCIAS CENTRAL RESIDENCE SAINT LOUIS MO $2.34M
APPLEGATE INC. SAINT LOUIS MO $2.03M
STUBBLEFIELD ENTERPRISES INC. CUBA MO $2.00M
LINDELL MANOR INC SAINT LOUIS MO $1.23M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 273 $98K
2019 261 $110K
2020 457 $199K
2021 480 $193K
2022 766 $241K
2023 226 $149K
2024 276 $140K

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) 2,715 1,313 $1.13M
T1001 Nursing assessment / evaluation 24 12 $404.76