GARCIAS CENTRAL RESIDENCE
NPI: 1417164419
· SAINT LOUIS, MO 63108
· Assisted Living Facility
· NPI assigned 05/17/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$2.34M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: STUBBLEFIELD, JESSICA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
676 |
$242K |
| 2019 |
672 |
$241K |
| 2020 |
951 |
$362K |
| 2021 |
1,139 |
$405K |
| 2022 |
1,213 |
$445K |
| 2023 |
498 |
$317K |
| 2024 |
708 |
$330K |
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) |
4,286 |
2,360 |
$2.29M |
| T1001 |
Nursing assessment / evaluation |
1,571 |
1,435 |
$53K |