COMMUNICARE ELITE, LLC
NPI: 1194159053
· SAINT LOUIS, MO 63109
· Health Maintenance Organization
· NPI assigned 08/28/2013
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.
$5.60M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: PADDA, GURPREET
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,442 |
$408K |
| 2019 |
2,151 |
$621K |
| 2020 |
2,858 |
$842K |
| 2021 |
2,625 |
$815K |
| 2022 |
2,963 |
$996K |
| 2023 |
3,036 |
$1.01M |
| 2024 |
2,750 |
$906K |
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) |
17,825 |
3,566 |
$5.60M |