HEAVENLY SUNSHINE HEALTH
NPI: 1396173159
· ATHENS, GA 30605
· Nursing Care Agency
· NPI assigned 10/14/2013
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
91% of spending on code T1020 with only 2 total codes billed. Highly concentrated billing profile.
$3.27M
Total Medicaid Paid
Provider Details
| Authorized Official | GRESHAM, SABINA (DIRECTOR/OWNER) |
| NPI Enumeration Date | 10/14/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
433 |
$344K |
| 2019 |
484 |
$428K |
| 2020 |
431 |
$367K |
| 2021 |
689 |
$464K |
| 2022 |
684 |
$513K |
| 2023 |
749 |
$536K |
| 2024 |
955 |
$616K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1020 |
Personal care services, per diem, 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) |
3,438 |
2,061 |
$2.96M |
| S5102 |
Day care services, adult; per diem |
987 |
627 |
$308K |