PRIVATE NURSING SERVICE INC.
NPI: 1073699732
· ST. LOUIS, MO 63123
· Home Health Agency
· NPI assigned 10/27/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
95% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$5.30M
Total Medicaid Paid
6,401
Beneficiary Records
Provider Details
| Authorized Official | HICKS, PAMELA (PRESIDENT) |
| NPI Enumeration Date | 10/27/2006 |
Related Entities
Other providers sharing the same authorized official: HICKS, PAMELA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
20,491 |
$928K |
| 2019 |
21,133 |
$924K |
| 2020 |
16,713 |
$756K |
| 2021 |
13,821 |
$627K |
| 2022 |
12,453 |
$558K |
| 2023 |
12,236 |
$713K |
| 2024 |
12,948 |
$796K |
Billing Codes
| Code | Description | Claims | Bene. Records | 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) |
103,912 |
4,592 |
$5.04M |
| T1001 |
Nursing assessment / evaluation |
5,883 |
1,809 |
$262K |