A DIFFERENT WORLD CONSUMER DIRECT SERVICES LLC
NPI: 1174076343
· FERGUSON, MO 63135
· Home Health Agency
· NPI assigned 07/25/2016
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.
$1.11M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,003 |
$332K |
| 2019 |
751 |
$279K |
| 2020 |
426 |
$151K |
| 2021 |
633 |
$265K |
| 2022 |
190 |
$81K |
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) |
3,003 |
694 |
$1.11M |