MID SOUTH HOME CARE, LLC
NPI: 1336672641
· BROOKHAVEN, MS 39601
· In Home Supportive Care Agency
· NPI assigned 04/05/2017
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$10.76M
Total Medicaid Paid
Provider Details
| Authorized Official | SIMMONS, LORA (OWNER) |
| NPI Enumeration Date | 04/05/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,108 |
$469K |
| 2019 |
18,079 |
$1.45M |
| 2020 |
23,017 |
$1.74M |
| 2021 |
18,666 |
$1.68M |
| 2022 |
11,249 |
$1.38M |
| 2023 |
3,477 |
$1.69M |
| 2024 |
4,168 |
$2.35M |
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) |
78,044 |
5,308 |
$10.51M |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
4,720 |
325 |
$252K |