UNION MANOR RESIDENTIAL CARE FACILITY
NPI: 1013195478
· SAINT LOUIS, MO 63113
· Clinic/Center
· NPI assigned 02/07/2008
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.
$2.53M
Total Medicaid Paid
Provider Details
| Authorized Official | COOK, ALMA (FACILITY OWNER) |
| NPI Enumeration Date | 02/07/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
403 |
$202K |
| 2019 |
479 |
$256K |
| 2020 |
975 |
$422K |
| 2021 |
954 |
$408K |
| 2022 |
1,054 |
$526K |
| 2023 |
417 |
$379K |
| 2024 |
335 |
$341K |
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) |
4,091 |
2,346 |
$2.52M |
| T1001 |
Nursing assessment / evaluation |
526 |
268 |
$17K |