Medicaid Provider Spending

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

AMEA HEALTHCARE

NPI: 1972915692 · LIMA, OH 45801 · Home Health Agency · NPI assigned 05/29/2014

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

100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.

$3.16M
Total Medicaid Paid
38,373
Total Claims
2,411
Beneficiaries
1
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSIMMONS, D. ROCHE (PRESIDENT)
NPI Enumeration Date05/29/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,145 $230K
2019 8,265 $592K
2020 8,498 $658K
2021 6,389 $560K
2022 4,906 $430K
2023 3,408 $142K
2024 3,762 $552K

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) 38,373 2,411 $3.16M