GOLDEN SPREAD RURAL FRONTIER COALITION
NPI: 1053444257
· CLAYTON, NM 88415
· Local Education Agency (LEA)
· NPI assigned 03/14/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.
$2.43M
Total Medicaid Paid
Provider Details
| Authorized Official | GALLOWAY, KATE (PCO COORDINATOR) |
| NPI Enumeration Date | 03/14/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,317 |
$259K |
| 2019 |
5,633 |
$277K |
| 2020 |
5,822 |
$317K |
| 2021 |
6,896 |
$377K |
| 2022 |
6,582 |
$381K |
| 2023 |
5,911 |
$385K |
| 2024 |
6,417 |
$431K |
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) |
42,578 |
1,915 |
$2.43M |