OZARK ADULT PERSONAL CARE LLC
NPI: 1265780944
· MELBOURNE, AR 72556
· In Home Supportive Care Agency
· NPI assigned 08/28/2012
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$22.32M
Total Medicaid Paid
Provider Details
| Authorized Official | WILES, JILL (OWNER) |
| NPI Enumeration Date | 08/28/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,741 |
$58K |
| 2019 |
32,667 |
$1.35M |
| 2020 |
64,016 |
$2.92M |
| 2021 |
73,052 |
$4.20M |
| 2022 |
71,193 |
$4.49M |
| 2023 |
81,980 |
$5.67M |
| 2024 |
71,681 |
$3.64M |
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) |
364,624 |
25,108 |
$21.64M |
| T1017 |
Targeted case management, each 15 minutes |
31,005 |
7,881 |
$680K |
| S5125 |
Attendant care services; per 15 minutes |
1,701 |
262 |
$0.00 |