CERTICARE,INC.
NPI: 1467630475
· BOSSIER CITY, LA 71112
· Intellectual and/or Developmental Disabilities Residential Treatment Facility
· NPI assigned 02/01/2008
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.
$3.86M
Total Medicaid Paid
Provider Details
| Authorized Official | DOUGLAS, MICHAEL (PRESIDENT/CEO) |
| NPI Enumeration Date | 02/01/2008 |
Related Entities
Other providers sharing the same authorized official: DOUGLAS, MICHAEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,837 |
$556K |
| 2019 |
8,861 |
$569K |
| 2020 |
8,977 |
$583K |
| 2021 |
7,808 |
$544K |
| 2022 |
6,385 |
$569K |
| 2023 |
5,556 |
$508K |
| 2024 |
5,849 |
$532K |
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) |
54,273 |
2,725 |
$3.86M |