PROFESSIONAL HOME CARE SPECIALISTS LLC
NPI: 1306201827
· MAPLETON, ME 04757
· In Home Supportive Care Agency
· NPI assigned 12/29/2015
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.
$3.30M
Total Medicaid Paid
Provider Details
| Authorized Official | MICHAUD, RANDOLPH (FINANCIAL OFFICER) |
| NPI Enumeration Date | 12/29/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,830 |
$453K |
| 2019 |
1,501 |
$376K |
| 2020 |
1,358 |
$364K |
| 2021 |
2,512 |
$326K |
| 2022 |
1,781 |
$573K |
| 2023 |
1,243 |
$648K |
| 2024 |
1,111 |
$558K |
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) |
11,336 |
2,314 |
$3.30M |