Medicaid Provider Spending

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

ADDUS HEALTHCARE (SOUTH CAROLINA), INC.

NPI: 1972931277 · WINTERSVILLE, OH 43953 · In Home Supportive Care Agency · NPI assigned 10/23/2013

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

100% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.

Entity Proliferation

Authorized official ANDERSON, DARBY controls 20+ related entities in our dataset. Read more

$25.57M
Total Medicaid Paid
292,944
Total Claims
18,598
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANDERSON, DARBY (EVP & CHIEF STRATEGY OFFICER)
Parent OrganizationADDUS HEALTH CARE INC
NPI Enumeration Date10/23/2013

Related Entities

Other providers sharing the same authorized official: ANDERSON, DARBY

ProviderCityStateTotal Paid
GIRLING HEALTH CARE, INC. AUSTIN TX $858.20M
SOUTH SHORE HOME HEALTH SERVICE, INC. RONKONKOMA NY $356.44M
CURA PARTNERS, LLC JOHNSON CITY TN $49.26M
A PLUS HEALTH CARE INC KALISPELL MT $28.19M
ADDUS HEALTHCARE, INC. DETROIT MI $18.48M
ADDUS HEALTH CARE INC ROLLA MO $15.75M
ADDUS HEALTH CARE INC BRINKLEY AR $13.06M
ADDUS HEALTHCARE (SOUTH CAROLINA), INC. COLUMBIA SC $12.17M
ADDUS HEALTHCARE, INC. SANTA FE NM $10.55M
PRIORITY HOME HEALTH CARE, INC MIDDLEBURG HEIGHTS OH $9.15M
PRAC HOLDINGS, INC. PHOENIX AZ $8.92M
COUNTY HOMEMAKERS INC DU BOIS PA $8.58M
SOUTH SHORE HOME HEALTH SERVICE, INC. RONKONKOMA NY $7.80M
ADDUS HEALTHCARE (SOUTH CAROLINA), INC. NORTH WILKESBORO NC $7.19M
ADDUS HEALTH CARE INC ROLLA MO $6.63M
ADDUS HEALTHCARE, INC. MERIDIAN ID $6.15M
PRAC HOLDINGS, INC. MARQUETTE MI $5.97M
ADDUS HEALTHCARE (SOUTH CAROLINA), INC. SUMTER SC $5.49M
ADDUS HEALTHCARE (SOUTH CAROLINA), INC. GREENVILLE SC $4.49M
ADDUS HEALTH CARE INC ROLLA MO $4.31M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,079 $265K
2019 10,794 $745K
2020 15,686 $1.06M
2021 41,874 $3.16M
2022 49,100 $3.92M
2023 79,416 $3.89M
2024 91,995 $12.52M

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) 290,610 18,438 $25.47M
G0156 Services of home health/hospice aide in home health or hospice settings, each 15 minutes 2,311 138 $104K
T1001 Nursing assessment / evaluation 23 22 $643.20