PRIMARY CARE NURSING SERVICES, INC.
NPI: 1194782979
· DUBLIN, OH 43017
· Home Health Agency
· NPI assigned 04/27/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T1000 with only 3 total codes billed. Highly concentrated billing profile.
$27.60M
Total Medicaid Paid
Provider Details
| Authorized Official | SHARP, SUSAN (ADMINISTRATOR) |
| NPI Enumeration Date | 04/27/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
17,232 |
$3.32M |
| 2019 |
14,795 |
$3.14M |
| 2020 |
17,344 |
$3.61M |
| 2021 |
15,160 |
$3.33M |
| 2022 |
13,609 |
$3.17M |
| 2023 |
20,658 |
$5.11M |
| 2024 |
16,856 |
$5.93M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1000 |
Private duty / independent nursing service(s) - licensed, up to 15 minutes |
112,217 |
4,865 |
$27.31M |
| T1003 |
Lpn/lvn services, up to 15 minutes |
1,229 |
503 |
$219K |
| T1001 |
Nursing assessment / evaluation |
2,208 |
1,864 |
$69K |