DIANA'S BOARDING HOME 2 INC
NPI: 1285227397
· MARBLE HILL, MO 63764
· Mental Illness Community Based Residential Treatment Facility
· NPI assigned 02/19/2021
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
96% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$2.92M
Total Medicaid Paid
Provider Details
| Authorized Official | WAGNER, TERRY (OWNER/PRESIDENT) |
| NPI Enumeration Date | 02/19/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
285 |
$152K |
| 2019 |
303 |
$163K |
| 2020 |
710 |
$303K |
| 2021 |
1,091 |
$408K |
| 2022 |
1,362 |
$659K |
| 2023 |
1,000 |
$609K |
| 2024 |
937 |
$629K |
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) |
4,556 |
2,395 |
$2.80M |
| T1001 |
Nursing assessment / evaluation |
1,132 |
1,072 |
$124K |