DELAWARE HIGHLANDS A.L. SERVICES PROVIDER
NPI: 1235382961
· KANSAS CITY, KS 66109
· Assisted Living Facility
· NPI assigned 10/28/2008
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$6.64M
Total Medicaid Paid
Provider Details
| Authorized Official | STIBAL, THOMAS (CEO) |
| NPI Enumeration Date | 10/28/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
21,644 |
$567K |
| 2019 |
6,956 |
$662K |
| 2020 |
7,098 |
$865K |
| 2021 |
5,972 |
$837K |
| 2022 |
4,997 |
$1.02M |
| 2023 |
5,991 |
$1.24M |
| 2024 |
4,937 |
$1.45M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
50,611 |
7,330 |
$6.47M |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
6,880 |
6,620 |
$171K |
| S5190 |
Wellness assessment, performed by non-physician |
104 |
104 |
$3K |