WELLNESS RESIDENTIAL SERVICES
NPI: 1104256221
· CINCINNATI, OH 45246
· Home Health Clinical Nurse Specialist
· NPI assigned 11/27/2013
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$6.69M
Total Medicaid Paid
Provider Details
| Authorized Official | FRED, IDORENYIN (DIRECTOR) |
| Parent Organization | WELLNESS RESIDENTIAL SERVICES |
| NPI Enumeration Date | 11/27/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
134 |
$9K |
| 2019 |
3,089 |
$305K |
| 2020 |
9,259 |
$1.06M |
| 2021 |
11,624 |
$1.40M |
| 2022 |
11,765 |
$1.35M |
| 2023 |
15,685 |
$508K |
| 2024 |
11,316 |
$2.05M |
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) |
62,754 |
2,828 |
$6.69M |
| T1001 |
Nursing assessment / evaluation |
118 |
118 |
$4K |