Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Cotoneaster Incorporated

Cotoneaster Incorporated was paid $6.22M by Medicaid between Jan 2018 and Dec 2024, across 2 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 90% of everything it billed.

33Billing provider infoCOTONEASTER INCORPORATED
HAYTI, MO 63851
33aNPI1962068817assigned 05/16/2019
28Total paid$6.22M
24GClaims110,569
24DCodes billed2
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other In Home Supportive Care Agency providers in Missouri

Rank by total paid#57 of 321
Median peer was paid$2.00M
This provider vs. median3.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration90% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
201819,792$925K
201920,525$992K
202018,559$905K
202115,848$851K
202214,231$932K
202311,611$835K
2024incomplete10,003$775K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1019 Help at home with bathing, dressing and eating, billed per 15 minutesPersonal 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) 90% 97,863 4,318 $5.60M
T1001 Nursing assessment / evaluation 9.9% 12,706 3,339 $615K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialSMITH, ROGER (OWNER)
Same official

Other billing entities under SMITH, ROGER

Full network →
ProviderLocationPaid
Sumner School DistrictSumner, WA$154K
Roger Smith, LCSW LLCPonchatoula, LA$16K
Cotoneaster,incHayti, MO$9K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.