Medicaid Provider Spending

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

AMERICAN PROVIDERS, INC.

NPI: 1952781031 · DONIPHAN, MO 63935 · In Home Supportive Care Agency · NPI assigned 06/04/2015

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

94% of spending on code S5150 with only 3 total codes billed. Highly concentrated billing profile.

$3.10M
Total Medicaid Paid
47,861
Total Claims
3,848
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSPENCER, ALFREDA (PRESIDENT)
NPI Enumeration Date06/04/2015

Related Entities

Other providers sharing the same authorized official: SPENCER, ALFREDA

ProviderCityStateTotal Paid
AMERICAN PROVIDERS, INC. DONIPHAN MO $13.86M
AMERICAN CONSUMER DIRECTED SERVICES, L.L.C. DONIPHAN MO $11.82M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,287 $316K
2019 2,062 $340K
2020 2,353 $344K
2021 7,302 $375K
2022 8,242 $486K
2023 12,798 $651K
2024 12,817 $591K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5150 Unskilled respite care, not hospice; per 15 minutes 39,027 3,083 $2.91M
S5130 Homemaker service, nos; per 15 minutes 8,799 739 $193K
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) 35 26 $0.00