LAKESHORES RESIDENTIAL CARE FACILITY
NPI: 1215055371
· URBANA, MO 65767
· Intellectual and/or Developmental Disabilities Residential Treatment Facility
· NPI assigned 03/27/2007
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.
$1.40M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
400 |
$84K |
| 2019 |
315 |
$81K |
| 2020 |
651 |
$204K |
| 2021 |
762 |
$254K |
| 2022 |
763 |
$341K |
| 2023 |
427 |
$219K |
| 2024 |
354 |
$214K |
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) |
3,672 |
2,257 |
$1.40M |