PROVIDENT PLACE CONSUMER DIRECTED SERVICES
NPI: 1053859397
· SAINT LOUIS, MO 63132
· Health Maintenance Organization
· NPI assigned 02/07/2017
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.
$2.74M
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, AIGNER (OWNER) |
| NPI Enumeration Date | 02/07/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
190 |
$116K |
| 2020 |
577 |
$399K |
| 2021 |
670 |
$482K |
| 2022 |
810 |
$627K |
| 2023 |
1,620 |
$586K |
| 2024 |
7,567 |
$531K |
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) |
11,434 |
1,750 |
$2.74M |