Medicaid Provider Spending

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

HERITAGE HOME AND DAY HEALTHCARE

NPI: 1962045526 · LOUISVILLE, KY 40216 · Adult Day Care Clinic/Center · NPI assigned 10/25/2019

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

98% of spending on code S5108 with only 3 total codes billed. Highly concentrated billing profile.

$32.54M
Total Medicaid Paid
142,151
Total Claims
10,307
Beneficiaries
3
Codes Billed
2021-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, STEVEN (CREDENTIALING MANAGER)
NPI Enumeration Date10/25/2019

Related Entities

Other providers sharing the same authorized official: SMITH, STEVEN

ProviderCityStateTotal Paid
UNITY FAMILY HEALTHCARE LITTLE FALLS MN $12.89M
COUNTY OF HENDERSON HENDERSONVILLE NC $2.81M
COUNTY OF TRANSYLVANIA BREVARD NC $390K
UNITY FAMILY HEALTHCARE LITTLE FALLS MN $141K
FAST AMBULANCE SERVICE AND TRANSPORTATION LLC. HAMBURG AR $48K
UNITY FAMILY HEALTHCARE RANDALL MN $12K
METRO TULSA FOOT & ANKLE SPECIALIST PLLC BROKEN ARROW OK $314.94
K VA T FOOD STORES INC WISE VA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 7,944 $1.29M
2022 43,440 $9.51M
2023 44,764 $10.55M
2024 46,003 $11.20M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S5108 Home care training to home care client, per 15 minutes 126,398 8,998 $31.99M
S5100 Day care services, adult; per 15 minutes 6,437 733 $421K
S5170 Home delivered meals, including preparation; per meal 9,316 576 $133K