SAINT MICHAEL HEALTH CARE, LLC
NPI: 1093952723
· BREAUX BRIDGE, LA 70517
· Custodial Care Facility
· NPI assigned 01/16/2009
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.
$2.06M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,496 |
$429K |
| 2019 |
9,192 |
$470K |
| 2020 |
8,445 |
$342K |
| 2021 |
4,141 |
$231K |
| 2022 |
4,313 |
$337K |
| 2023 |
3,320 |
$249K |
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) |
39,907 |
1,550 |
$2.06M |