APPLEGATE INC.
NPI: 1285841247
· SAINT LOUIS, MO 63125
· Assisted Living Facility
· NPI assigned 05/17/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$2.03M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: STUBBLEFIELD, JESSICA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
395 |
$216K |
| 2019 |
549 |
$233K |
| 2020 |
721 |
$337K |
| 2021 |
781 |
$352K |
| 2022 |
794 |
$384K |
| 2023 |
294 |
$278K |
| 2024 |
297 |
$229K |
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) |
3,282 |
2,022 |
$2.01M |
| T1001 |
Nursing assessment / evaluation |
549 |
532 |
$18K |