EFFICIENT CARE, LLC
NPI: 1386938736
· AMITE, LA 70422
· Home Health Agency
· NPI assigned 06/02/2011
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.
$2.16M
Total Medicaid Paid
Provider Details
| Authorized Official | HARRELL, MARY (OWNER) |
| NPI Enumeration Date | 06/02/2011 |
Related Entities
Other providers sharing the same authorized official: HARRELL, MARY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,652 |
$336K |
| 2019 |
6,765 |
$373K |
| 2020 |
6,006 |
$362K |
| 2021 |
4,994 |
$330K |
| 2022 |
4,518 |
$360K |
| 2023 |
3,873 |
$304K |
| 2024 |
1,167 |
$96K |
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) |
34,975 |
1,383 |
$2.16M |