PRIORITY MEDICAL CARE INC
NPI: 1366574881
· LAFAYETTE, LA 70503
· Home Health Agency
· NPI assigned 03/10/2007
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.
$4.91M
Total Medicaid Paid
Provider Details
| Authorized Official | FUSILIER, TONI (CEO) |
| NPI Enumeration Date | 03/10/2007 |
Related Entities
Other providers sharing the same authorized official: FUSILIER, TONI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
16,898 |
$731K |
| 2019 |
15,221 |
$839K |
| 2020 |
13,448 |
$744K |
| 2021 |
11,451 |
$683K |
| 2022 |
10,359 |
$774K |
| 2023 |
7,063 |
$558K |
| 2024 |
6,615 |
$577K |
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) |
81,055 |
3,232 |
$4.91M |