DIANA'S BOARDING HOME 1, INC
NPI: 1275128845
· MARBLE HILL, MO 63764
· Assisted Living Facility
· NPI assigned 03/05/2021
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$1.18M
Total Medicaid Paid
Provider Details
| Authorized Official | WAGNER, AMANDA (OWNER) |
| NPI Enumeration Date | 03/05/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
113 |
$46K |
| 2019 |
52 |
$23K |
| 2020 |
241 |
$109K |
| 2021 |
349 |
$150K |
| 2022 |
473 |
$238K |
| 2023 |
535 |
$317K |
| 2024 |
512 |
$295K |
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) |
1,903 |
882 |
$1.15M |
| T1001 |
Nursing assessment / evaluation |
372 |
330 |
$28K |