WAGNER RESIDENTIAL CARE INC
NPI: 1154673887
· FREDERICKTOWN, MO 63645
· Assisted Living Facility
· NPI assigned 10/04/2012
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$2.91M
Total Medicaid Paid
Provider Details
| Authorized Official | WAGNER, TEENA (OWNER/MANAGER) |
| NPI Enumeration Date | 10/04/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
521 |
$197K |
| 2019 |
552 |
$219K |
| 2020 |
1,100 |
$401K |
| 2021 |
1,157 |
$418K |
| 2022 |
1,396 |
$601K |
| 2023 |
989 |
$555K |
| 2024 |
878 |
$521K |
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) |
4,754 |
2,733 |
$2.82M |
| T1001 |
Nursing assessment / evaluation |
1,839 |
1,775 |
$93K |