Medicaid Provider Spending

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

LUSTER, SHARHON

NPI: 1962641662 · FLORISSANT, MO 63033 · Social Worker · NPI assigned 02/19/2009

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

98% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

$3.32M
Total Medicaid Paid
52,995
Total Claims
2,838
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,932 $438K
2019 8,933 $482K
2020 8,304 $454K
2021 8,501 $490K
2022 6,633 $489K
2023 6,221 $477K
2024 6,471 $492K

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) 51,056 2,287 $3.25M
T1001 Nursing assessment / evaluation 1,939 551 $75K