PHOENIX HOME CARE, LLC
NPI: 1003382680
· SPRINGFIELD, MO 65807
· Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
· NPI assigned 10/22/2018
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$8.52M
Total Medicaid Paid
Provider Details
| Authorized Official | HERMAN, GEORGE (PRESIDENT & SECRETARY) |
| NPI Enumeration Date | 10/22/2018 |
Related Entities
Other providers sharing the same authorized official: HERMAN, GEORGE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
194 |
$18K |
| 2019 |
4,062 |
$430K |
| 2020 |
8,490 |
$1.06M |
| 2021 |
8,076 |
$1.01M |
| 2022 |
7,638 |
$1.39M |
| 2023 |
9,912 |
$2.32M |
| 2024 |
9,664 |
$2.30M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total 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) |
47,039 |
3,410 |
$8.44M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
997 |
994 |
$82K |