The Point Change Nursing Service

The Point Change Nursing Service was paid $10.90M by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 97% of everything it billed.

33Billing provider infoTHE POINT CHANGE NURSING SERVICE
SAINT LOUIS, MO 63115

33aNPI1427117530assigned 12/06/2006

33bProvider typeHome Health Agency

28Total paid$10.90M

24GClaims159,589

24DCodes billed3

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Home Health Agency providers in Missouri

Rank by total paid#40 of 572

Median peer was paid$1.41M

This provider vs. median7.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration97% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	34,131	$1.96M
2019	27,837	$1.69M
2020	23,838	$1.56M
2021	21,342	$1.43M
2022	18,933	$1.42M
2023	17,152	$1.44M
2024incomplete	16,356	$1.39M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1019	Help at home with bathing, dressing and eating, billed per 15 minutesPersonal 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)	97%	151,838	5,682	$10.53M
T1001	Nursing assessment / evaluation	3.3%	7,707	1,880	$364K
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	<1%	44	43	$3K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialBROOKS, NORMA (EXECUTIVE DIRECTOR)

Same official

Other billing entities under BROOKS, NORMA

Full network →

Provider	Location	Paid
The Point of Change Nursing Service, INC	Saint Louis, MO	$152K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.