EXTENDED HOME CARE TN, LLC
NPI: 1376814806
· BARTLETT, TN 38133
· In Home Supportive Care Agency
· NPI assigned 01/13/2012
$1.59M
Total Medicaid Paid
Provider Details
| Authorized Official | CLARK, DEBRA (MANAGING DIRECTOR/ VP OF THE BOARD) |
| NPI Enumeration Date | 01/13/2012 |
Related Entities
Other providers sharing the same authorized official: CLARK, DEBRA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
2,163 |
$170K |
| 2023 |
4,224 |
$328K |
| 2024 |
11,039 |
$1.09M |
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) |
14,225 |
779 |
$1.12M |
| S5125 |
Attendant care services; per 15 minutes |
3,142 |
183 |
$469K |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
59 |
15 |
$4K |