DISABILITY RESOURCE ASSOCIATION
NPI: 1063541175
· CRYSTAL CITY, MO 63019
· Personal Care Attendant
· NPI assigned 03/05/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$34.30M
Total Medicaid Paid
Provider Details
| Authorized Official | HENNING, CRAIG (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 03/05/2007 |
Related Entities
Other providers sharing the same authorized official: HENNING, CRAIG
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
105,488 |
$5.39M |
| 2019 |
99,505 |
$5.00M |
| 2020 |
91,645 |
$4.59M |
| 2021 |
84,216 |
$4.29M |
| 2022 |
78,960 |
$4.66M |
| 2023 |
80,204 |
$5.32M |
| 2024 |
75,166 |
$5.05M |
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) |
613,014 |
26,403 |
$34.08M |
| T2040 |
Financial management, self-directed, waiver; per 15 minutes |
1,279 |
1,275 |
$163K |
| T1028 |
Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs |
891 |
864 |
$64K |