MASON COUNTY ACTION GROUP INC
NPI: 1114326824
· PT PLEASANT, WV 25550
· Home Health Agency
· NPI assigned 08/19/2014
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$1.54M
Total Medicaid Paid
2,563
Beneficiary Records
Provider Details
| Authorized Official | NIBERT, BONNIE (FISCAL OFFICER) |
| NPI Enumeration Date | 08/19/2014 |
Related Entities
Other providers sharing the same authorized official: NIBERT, BONNIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
677 |
$288K |
| 2019 |
635 |
$290K |
| 2020 |
514 |
$280K |
| 2021 |
2,873 |
$282K |
| 2022 |
3,479 |
$345K |
| 2023 |
494 |
$57K |
| 2024 |
12 |
$138.72 |
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) |
7,157 |
1,267 |
$1.52M |
| T1002 |
Rn services, up to 15 minutes |
1,527 |
1,296 |
$20K |