PROHEALTH HOSPICE-ALABAMA, LLC
NPI: 1104271857
· GADSDEN, AL 35903
· Community Based Hospice Care Agency
· NPI assigned 05/02/2016
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T2046 with only 1 total codes billed. Highly concentrated billing profile.
$3.84M
Total Medicaid Paid
Provider Details
| Authorized Official | LESTER, DAVID (CEO) |
| Parent Organization | PROHEALTH GROUP INC. |
| NPI Enumeration Date | 05/02/2016 |
Related Entities
Other providers sharing the same authorized official: LESTER, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
111 |
$466K |
| 2020 |
54 |
$178K |
| 2021 |
74 |
$391K |
| 2022 |
197 |
$912K |
| 2023 |
224 |
$1.04M |
| 2024 |
194 |
$856K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2046 |
Hospice long term care, room and board only; per diem |
854 |
781 |
$3.84M |