PRESTERA CENTER FOR MENTAL HEALTH SERVICES, INC
NPI: 1043436918
· HUNTINGTON, WV 25705
· Community/Behavioral Health Agency
· NPI assigned 04/18/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$18.73M
Total Medicaid Paid
Provider Details
| Authorized Official | ZAPPIA, LISA (PRESIDENT/CEO) |
| NPI Enumeration Date | 04/18/2007 |
Related Entities
Other providers sharing the same authorized official: ZAPPIA, LISA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,560 |
$3.62M |
| 2019 |
5,984 |
$3.49M |
| 2020 |
5,227 |
$3.27M |
| 2021 |
4,628 |
$2.88M |
| 2022 |
3,519 |
$2.96M |
| 2023 |
2,467 |
$1.49M |
| 2024 |
1,853 |
$1.02M |
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) |
14,095 |
13,497 |
$18.36M |
| T1002 |
Rn services, up to 15 minutes |
15,231 |
15,206 |
$255K |
| T1001 |
Nursing assessment / evaluation |
912 |
909 |
$108K |