PRISTINE CARE HOME HEALTH SERVICES, INC.
NPI: 1205274248
· TEMECULA, CA 92590
· Home Health Agency
· NPI assigned 06/12/2013
$262.42
Total Medicaid Paid
Provider Details
| Authorized Official | SAMOY, ELMER (CEO/ADMINISTRATOR) |
| NPI Enumeration Date | 06/12/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
326 |
$0.00 |
| 2021 |
928 |
$0.00 |
| 2022 |
433 |
$52.50 |
| 2023 |
108 |
$209.92 |
| 2024 |
41 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0300 |
Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes |
1,128 |
357 |
$161.92 |
| G0493 |
Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting) |
190 |
184 |
$100.50 |
| Q5001 |
Hospice or home health care provided in patient's home/residence |
518 |
495 |
$0.00 |