ACCURATE IN-HOME FAMILY CARE, INC.
NPI: 1255655254
· SAINT LOUIS, MO 63137
· Personal Care Attendant
· NPI assigned 03/19/2010
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$13.38M
Total Medicaid Paid
Provider Details
| Authorized Official | SCRUGGS, KENNETH (OWNER/DIRECTOR) |
| NPI Enumeration Date | 03/19/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,140 |
$1.59M |
| 2019 |
4,429 |
$1.56M |
| 2020 |
3,786 |
$1.65M |
| 2021 |
3,870 |
$1.76M |
| 2022 |
4,696 |
$2.16M |
| 2023 |
4,994 |
$2.51M |
| 2024 |
3,918 |
$2.15M |
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) |
24,748 |
7,615 |
$13.07M |
| T1001 |
Nursing assessment / evaluation |
6,040 |
1,564 |
$286K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
45 |
24 |
$25K |