ADRIATIC CDS, LLC
NPI: 1467112045
· SAINT LOUIS, MO 63129
· In Home Supportive Care Agency
· NPI assigned 12/23/2021
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$5.30M
Total Medicaid Paid
Provider Details
| Authorized Official | MAKSUMIC, SEJLA (OWNER/EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 12/23/2021 |
Related Entities
Other providers sharing the same authorized official: MAKSUMIC, SEJLA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
11,434 |
$767K |
| 2023 |
26,278 |
$1.83M |
| 2024 |
35,469 |
$2.70M |
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) |
73,151 |
2,756 |
$5.29M |
| T1028 |
Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs |
30 |
30 |
$3K |