Medicaid Provider Spending

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

COMPLETECARE PRIVATE SERVICES, LLC

NPI: 1972901155 · MCALESTER, OK 74501 · Home Health Agency · NPI assigned 12/19/2014

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

95% of spending on code T1016 with only 3 total codes billed. Highly concentrated billing profile.

$4.50M
Total Medicaid Paid
59,488
Total Claims
19,190
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKELLY, JOHN (MANAGER)
NPI Enumeration Date12/19/2014

Related Entities

Other providers sharing the same authorized official: KELLY, JOHN

ProviderCityStateTotal Paid
JOHN P KELLY MD A PROFESSIONAL MEDICAL CORPORATION LOS ANGELES CA $11.13M
A PATH OF CARE HOME HEALTH I, INC. ADA OK $3.35M
YMCA OF THE JERSEY SHORE MATAWAN NJ $2.70M
JOHN V. KELLY MD, PC BLOOMFIELD NJ $1.04M
KELLY FAMILY MEDICINE, PA SWANNANOA NC $106K
ASPIRE2HEALTH PA SWANNANOA NC $105K
ABINGTON MEMORIAL HOSPITAL HUNTINGDON VALLEY PA $6K
ABINGTON MEMORIAL HOSPITAL WARMINSTER PA $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,357 $210K
2019 8,616 $599K
2020 12,978 $777K
2021 11,136 $746K
2022 6,029 $539K
2023 8,176 $737K
2024 10,196 $894K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1016 Case management, each 15 minutes 56,788 16,498 $4.27M
T1002 Rn services, up to 15 minutes 2,686 2,678 $227K
G0300 Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes 14 14 $1K