RATHBURN HEALTHCARE LLC
NPI: 1255923827
· SALT LAKE CITY, UT 84115
· Home Health Agency
· NPI assigned 02/05/2021
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
95% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$19.10M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: WHATCOTT, KEVIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
13,434 |
$5.79M |
| 2024 |
28,329 |
$13.31M |
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) |
40,690 |
1,928 |
$18.20M |
| T1001 |
Nursing assessment / evaluation |
1,030 |
1,030 |
$867K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
43 |
12 |
$32K |