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

Ultimate Nursing Services of Iowa, LLC

Ultimate Nursing Services of Iowa, LLC was paid $1.48M by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is S5150, respite care, billed per 15 minutes — 94% of everything it billed.

33Billing provider infoULTIMATE NURSING SERVICES OF IOWA, LLC
URBANDALE, IA 50322
33aNPI1972573145assigned 01/23/2006
33bProvider typeNursing Care Agency
28Total paid$1.48M
24GClaims5,168
24DCodes billed2
24AFirst – last monthJan 2018 – Nov 2024

Auditor's notes

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

Single-Code Concentration94% of spending on code S5150 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
20181,267$392K
2019892$255K
2020808$244K
2021755$206K
2022658$175K
2023552$135K
2024incomplete236$72K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S5150 Respite care, billed per 15 minutesUnskilled respite care, not hospice; per 15 minutes 94% 4,927 1,836 $1.39M
T1003 Lpn/lvn services, up to 15 minutes 6.0% 241 88 $89K

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 officialDE JESUS, EMMA (CREDENTIALING DIRECTOR)
Same official

Other billing entities under DE JESUS, EMMA

Full network →
ProviderLocationPaid
Family First Homecare, LLCBrandon, FL$78.61M
Family First Homecare, LLCSarasota, FL$52.56M
Universal Nursing Services, LTDSioux Falls, SD$33.20M
Family First Homecare, LLCClearwater, FL$27.13M
Family First Homecare, LLCJacksonville, FL$26.94M
Family First Homecare, LLCOrlando, FL$9.13M
Home Health Specialists LLCDrexel Hill, PA$7.43M
Family First Homecare, LLCPensacola, FL$7.10M
Family First Homecare, LLCWest Palm Beach, FL$6.53M
Family First Homecare of Texas LLCHouston, TX$6.00M

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