ROSE HEALTH CARE, LLC
NPI: 1164787198
· DAYTON, OH 45406
· Home Health Agency
· NPI assigned 07/05/2012
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$6.83M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: HAMILTON, CHARLES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
16,616 |
$1.02M |
| 2019 |
15,186 |
$974K |
| 2020 |
11,980 |
$835K |
| 2021 |
11,563 |
$875K |
| 2022 |
11,656 |
$929K |
| 2023 |
12,677 |
$923K |
| 2024 |
9,565 |
$1.27M |
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) |
88,528 |
4,769 |
$6.81M |
| T1001 |
Nursing assessment / evaluation |
649 |
614 |
$23K |
| G0156 |
Services of home health/hospice aide in home health or hospice settings, each 15 minutes |
66 |
14 |
$7.84 |