IN HOME WELLCARE LLC
NPI: 1316711195
· PROVIDENCE, RI 02904
· Home Health Agency
· NPI assigned 11/13/2023
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
93% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$1.85M
Total Medicaid Paid
Provider Details
| Authorized Official | GARCIA, KILVIA (PRESIDENT) |
| NPI Enumeration Date | 11/13/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
13,319 |
$1.85M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
12,090 |
507 |
$1.73M |
| S5130 |
Homemaker service, nos; per 15 minutes |
768 |
119 |
$66K |
| T1001 |
Nursing assessment / evaluation |
461 |
431 |
$56K |