MYCARE IN-HOME CARE LLC
NPI: 1386160570
· SAINT LOUIS, MO 63114
· Home Health Agency
· NPI assigned 08/18/2017
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$3.44M
Total Medicaid Paid
Provider Details
| Authorized Official | PAYNE, RACHELLE (OWNER/DIRECTOR) |
| NPI Enumeration Date | 08/18/2017 |
Related Entities
Other providers sharing the same authorized official: PAYNE, RACHELLE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
60 |
$43K |
| 2020 |
507 |
$287K |
| 2021 |
922 |
$475K |
| 2022 |
1,491 |
$974K |
| 2023 |
1,089 |
$943K |
| 2024 |
940 |
$714K |
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) |
4,574 |
2,161 |
$3.37M |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
119 |
65 |
$54K |
| T1001 |
Nursing assessment / evaluation |
316 |
94 |
$14K |