Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

THE POINT CHANGE NURSING SERVICE

NPI: 1427117530 · SAINT LOUIS, MO 63115 · Home Health Agency · NPI assigned 12/06/2006

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

97% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.

$10.90M
Total Medicaid Paid
159,589
Total Claims
7,605
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBROOKS, NORMA (EXECUTIVE DIRECTOR)
NPI Enumeration Date12/06/2006

Related Entities

Other providers sharing the same authorized official: BROOKS, NORMA

ProviderCityStateTotal Paid
THE POINT OF CHANGE NURSING SERVICE, INC SAINT LOUIS MO $152K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 16,356 $1.39M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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) 151,838 5,682 $10.53M
T1001 Nursing assessment / evaluation 7,707 1,880 $364K
T1028 Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs 44 43 $3K