Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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A514465200

A514465200 was paid $28.36M by Medicaid between Nov 2018 and Sep 2019, across 3 billing codes. Its largest line is T2028, Specialized supply, not otherwise specified, waiver — 100% of everything it billed.

33Billing provider infoA514465200
33aNPIA514465200
33bProvider type—
28Total paid$28.36M
24GClaims434,995
24DCodes billed3
24AFirst – last monthNov 2018 – Sep 2019

Auditor's notes

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

Single-Code Concentration100% of spending on code T2028 with only 3 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$2.0M$4.0M2018201920202021202220232024
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
201817,053$1.30M
2019417,942$27.06M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2028 Specialized supply, not otherwise specified, waiver 100% 411,458 9,286 $28.35M
T2040 Financial management, self-directed, waiver; per 15 minutes <1% 739 368 $12K
T2025 Waiver services not otherwise specifiedWaiver services; not otherwise specified (nos) 0% 22,798 1,891 $0.00

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.