HEARTLAND CONSUMER DIRECTED SERVICES
NPI: 1033462460
· SAINT LOUIS, MO 63132
· Health Maintenance Organization
· NPI assigned 10/23/2012
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.
$2.18M
Total Medicaid Paid
Provider Details
| Authorized Official | WALKER, JUNE (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 10/23/2012 |
Related Entities
Other providers sharing the same authorized official: WALKER, JUNE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,240 |
$329K |
| 2019 |
4,902 |
$256K |
| 2020 |
5,226 |
$263K |
| 2021 |
5,356 |
$272K |
| 2022 |
5,505 |
$311K |
| 2023 |
6,017 |
$385K |
| 2024 |
5,535 |
$366K |
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) |
38,529 |
1,523 |
$2.17M |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
252 |
29 |
$16K |