Medicaid Provider Spending

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

COUNCIL ON AGING OF SOUTHWESTERN OHIO

NPI: 1922554179 · CINCINNATI, OH 45246 · Case Management Agency · NPI assigned 08/28/2016

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

98% of spending on code T1016 with only 2 total codes billed. Highly concentrated billing profile.

$4.46M
Total Medicaid Paid
120,903
Total Claims
63,526
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBURKE, SUZANNE (C.E.O)
NPI Enumeration Date08/28/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,344 $269K
2019 6,298 $230K
2020 17,162 $841K
2021 17,466 $756K
2022 18,186 $768K
2023 19,266 $135K
2024 30,181 $1.46M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1016 Case management, each 15 minutes 119,975 62,686 $4.37M
S5170 Home delivered meals, including preparation; per meal 928 840 $83K