TRI - COUNTY LIVING ASSISTANCE SERVICES, LLC
NPI: 1124217161
· WEST CHESTER, OH 45069
· Home Health Agency
· NPI assigned 10/16/2007
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.
$3.24M
Total Medicaid Paid
Provider Details
| Authorized Official | CAPRI, GLENN (PRESIDENT) |
| NPI Enumeration Date | 10/16/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
11,305 |
$839K |
| 2019 |
8,394 |
$658K |
| 2020 |
7,947 |
$601K |
| 2021 |
6,930 |
$518K |
| 2022 |
6,162 |
$439K |
| 2023 |
3,786 |
$13K |
| 2024 |
2,155 |
$172K |
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) |
46,679 |
1,896 |
$3.24M |