NEXGEN HOME HEALTH & CONSULTANT SERVICES, LLC.
NPI: 1336773985
· LITTLE ROCK, AR 72204
· Chore Provider
· NPI assigned 02/22/2020
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
96% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$1.48M
Total Medicaid Paid
Provider Details
| Authorized Official | BOYD, SHARON (OWNER) |
| NPI Enumeration Date | 02/22/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
449 |
$113K |
| 2022 |
1,201 |
$211K |
| 2023 |
5,684 |
$439K |
| 2024 |
8,247 |
$720K |
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) |
15,018 |
1,433 |
$1.43M |
| S5125 |
Attendant care services; per 15 minutes |
544 |
105 |
$54K |
| T1017 |
Targeted case management, each 15 minutes |
19 |
12 |
$277.50 |