METRO HEALTHCARE SERVICES INC.
NPI: 1467803189
· SOUTHFIELD, MI 48075
· Case Management Agency
· NPI assigned 06/23/2016
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$20.18M
Total Medicaid Paid
Provider Details
| Authorized Official | KHALIFA, ROSE (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 06/23/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,739 |
$1.47M |
| 2020 |
4,429 |
$3.97M |
| 2021 |
4,321 |
$3.84M |
| 2022 |
18,253 |
$3.90M |
| 2023 |
57,304 |
$3.97M |
| 2024 |
40,353 |
$3.02M |
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) |
124,254 |
17,341 |
$20.06M |
| H2015 |
Comprehensive community support services, per 15 minutes |
2,145 |
261 |
$119K |