SMILE HOMECARE, LLC
NPI: 1215462429
· PITTSBURGH, PA 15236
· In Home Supportive Care Agency
· NPI assigned 04/25/2017
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code W1793 with only 1 total codes billed. Highly concentrated billing profile.
$6.41M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
2,877 |
$645K |
| 2021 |
9,458 |
$2.00M |
| 2022 |
8,117 |
$1.62M |
| 2023 |
5,291 |
$1.21M |
| 2024 |
4,506 |
$936K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| W1793 |
State-specific procedure code |
30,249 |
1,040 |
$6.41M |