MID AMERICA HEALTHCARE CORP OF WISCONSIN
NPI: 1477660132
· MILWAUKEE, WI 53213
· Home Health Agency
· NPI assigned 08/25/2006
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.
$16.00M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
100,718 |
$3.12M |
| 2019 |
92,931 |
$2.96M |
| 2020 |
61,867 |
$2.51M |
| 2021 |
38,674 |
$1.71M |
| 2022 |
44,992 |
$1.88M |
| 2023 |
40,575 |
$2.01M |
| 2024 |
34,622 |
$1.80M |
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) |
409,428 |
9,176 |
$15.78M |
| 99509 |
Home visit for assistance with activities of daily living and personal care |
4,951 |
4,627 |
$219K |