5 STAR HOME CARE SERVICES LLC
NPI: 1194240267
· SAINT LOUIS, MO 63105
· Home Health Agency
· NPI assigned 08/09/2017
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$9.34M
Total Medicaid Paid
Provider Details
| Authorized Official | SAVAGE, JERRY (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 08/09/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,583 |
$357K |
| 2019 |
3,746 |
$839K |
| 2020 |
3,973 |
$1.06M |
| 2021 |
5,311 |
$1.30M |
| 2022 |
5,851 |
$1.56M |
| 2023 |
7,045 |
$1.99M |
| 2024 |
7,353 |
$2.24M |
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) |
33,530 |
5,486 |
$9.09M |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
1,332 |
237 |
$256K |