HERE FOR YOU PRENATAL COORDINATION SERVICES LLC
NPI: 1457959355
· WEST ALLIS, WI 53214
· Case Management Agency
· NPI assigned 10/13/2020
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T1016 with only 3 total codes billed. Highly concentrated billing profile.
$2.18M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
2,127 |
$150K |
| 2021 |
26,910 |
$2.03M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
28,384 |
5,845 |
$2.15M |
| H1002 |
Prenatal care, at risk enhanced service; care coordination |
325 |
315 |
$15K |
| H1000 |
Prenatal care, at-risk assessment |
328 |
317 |
$12K |