FROM THE HEART HOME CARE LLC
NPI: 1366810574
· SAINT LOUIS, MO 63112
· Home Health Agency
· NPI assigned 09/03/2015
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.
$8.09M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,013 |
$1.02M |
| 2019 |
18,531 |
$1.09M |
| 2020 |
20,438 |
$1.22M |
| 2021 |
18,157 |
$1.12M |
| 2022 |
17,160 |
$1.17M |
| 2023 |
16,063 |
$1.16M |
| 2024 |
17,213 |
$1.30M |
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) |
117,575 |
4,753 |
$8.09M |