WEBSTER COUNTY COMMISSION OF SENIOR CITIZENS, INC.
NPI: 1134349020
· WEBSTER SPRINGS, WV 26288
· Home Health Agency
· NPI assigned 04/26/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$1.81M
Total Medicaid Paid
Provider Details
| Authorized Official | COOPER, PHILIP (DIRECTOR) |
| NPI Enumeration Date | 04/26/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
620 |
$378K |
| 2019 |
609 |
$356K |
| 2020 |
712 |
$449K |
| 2021 |
588 |
$393K |
| 2022 |
472 |
$227K |
| 2023 |
223 |
$3K |
| 2024 |
326 |
$4K |
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) |
1,446 |
1,368 |
$1.78M |
| T1002 |
Rn services, up to 15 minutes |
2,104 |
1,775 |
$29K |