PROTEM MEDICAL INC
NPI: 1154357226
· SHAKER HEIGHTS, OH 44120
· Durable Medical Equipment & Medical Supplies
· NPI assigned 06/23/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
95% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$1.37M
Total Medicaid Paid
Provider Details
| Authorized Official | NWORIE, ADA (ADMINISTRATOR) |
| NPI Enumeration Date | 06/23/2006 |
Related Entities
Other providers sharing the same authorized official: NWORIE, ADA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
19,079 |
$1.05M |
| 2019 |
5,430 |
$328K |
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) |
21,702 |
959 |
$1.30M |
| S5130 |
Homemaker service, nos; per 15 minutes |
2,642 |
150 |
$69K |
| T1001 |
Nursing assessment / evaluation |
165 |
158 |
$6K |