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K&c Home Care LLC

Clinic/Center, Birthing·Milwaukee, WI·NPI: 1124696802SharePrint ReportML Risk: 84%

Total Paid

$160K

$160,186

Total Claims

2,939

Beneficiaries

752

3.9 claims/patient

Avg Cost/Claim

$55

🔍 Analysis

Provider Overview

K&c Home Care LLC is a Clinic/Center, Birthing provider based in Milwaukee, WI. From 2023-01 through 2024-02, this provider received $160K in Medicaid payments across 3K claims serving 752 beneficiaries, billing 3 distinct procedure codes.

Key Findings

  • 📊93% of all billing comes from a single procedure code: T1016 (T1016). This extreme concentration is unusual and may indicate specialized services or a narrow billing pattern.

Yearly Spending

2023
$159K
-99%
2024
$907

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 3 distinct procedure codes. The top code (T1016 (Case management, each 15 min)) accounts for 93% of total spending.

T1016Normal range

Case management, each 15 min

$150K

2,725 claims · 93.5%

Your Cost: $54.94/claim|Median: $49.62
1.1× median
H1004Top 25%

$6K

130 claims · 3.9%

Your Cost: $47.88/claim|Median: $32.05
1.5× median
H1003Top 5%

$4K

84 claims · 2.6%

Your Cost: $50.46/claim|Median: $10.04
5.0× median