ALWAYS BEST CARE OF COLUMBIANA AND MAHONING COUNTIES
NPI: 1174957278
· EAST LIVERPOOL, OH 43920
· In Home Supportive Care Agency
· NPI assigned 08/26/2013
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$17.89M
Total Medicaid Paid
Provider Details
| Authorized Official | PUORRO, PAMELA (OWNER) |
| NPI Enumeration Date | 08/26/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
14,640 |
$1.06M |
| 2019 |
14,384 |
$1.44M |
| 2020 |
25,777 |
$2.12M |
| 2021 |
36,883 |
$2.55M |
| 2022 |
48,375 |
$2.97M |
| 2023 |
58,857 |
$777K |
| 2024 |
64,086 |
$6.98M |
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) |
256,602 |
15,056 |
$17.72M |
| T1001 |
Nursing assessment / evaluation |
6,400 |
6,099 |
$170K |