417 HOME CARE LLC
NPI: 1164971933
· OZARK, MO 65721
· Chore Provider
· NPI assigned 09/22/2016
$6.62M
Total Medicaid Paid
Provider Details
| Authorized Official | RAY, JOHN (CEO) |
| NPI Enumeration Date | 09/22/2016 |
Related Entities
Other providers sharing the same authorized official: RAY, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
29,557 |
$513K |
| 2019 |
12,072 |
$479K |
| 2020 |
8,261 |
$540K |
| 2021 |
6,050 |
$420K |
| 2022 |
6,383 |
$485K |
| 2023 |
14,614 |
$1.26M |
| 2024 |
36,830 |
$2.92M |
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) |
103,781 |
6,584 |
$6.19M |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
3,746 |
233 |
$199K |
| T1001 |
Nursing assessment / evaluation |
4,394 |
1,532 |
$197K |
| S5130 |
Homemaker service, nos; per 15 minutes |
1,846 |
199 |
$37K |