PROVIDENCE PCC OF GRENADA, LLC
NPI: 1477869881
· GRENADA, MS 38901
· Assisted Living Facility
· NPI assigned 08/23/2010
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1020 with only 1 total codes billed. Highly concentrated billing profile.
$1.48M
Total Medicaid Paid
Provider Details
| Authorized Official | MITCHELL, DEBBIE (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 08/23/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
231 |
$329K |
| 2019 |
173 |
$260K |
| 2021 |
90 |
$127K |
| 2022 |
208 |
$274K |
| 2023 |
127 |
$196K |
| 2024 |
160 |
$289K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1020 |
Personal care services, per diem, 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) |
989 |
911 |
$1.48M |