TLC QUALITY HOME CARE SERVICES, LLC
NPI: 1053979377
· MARION, AR 72364
· Home Health Agency
· NPI assigned 06/01/2019
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.
$1.44M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
55 |
$12K |
| 2020 |
1,795 |
$299K |
| 2021 |
3,609 |
$437K |
| 2022 |
1,966 |
$278K |
| 2023 |
4,080 |
$227K |
| 2024 |
2,612 |
$184K |
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) |
14,117 |
1,652 |
$1.44M |