SOUTHERN HOME CARE SERVICES, INC.
NPI: 1316241961
· LOUISVILLE, KY 40223
· Intellectual Disabilities Intermediate Care Facility
· NPI assigned 12/22/2010
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.
$10.99M
Total Medicaid Paid
Provider Details
| Authorized Official | OMBRES, DEENA (PRIVACY OFFICER) |
| NPI Enumeration Date | 12/22/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
67,914 |
$1.45M |
| 2019 |
72,238 |
$1.96M |
| 2020 |
74,149 |
$1.77M |
| 2021 |
32,408 |
$1.62M |
| 2022 |
34,740 |
$1.73M |
| 2023 |
22,571 |
$1.43M |
| 2024 |
13,193 |
$1.02M |
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) |
317,213 |
7,905 |
$10.99M |