TUCKER COUNTY SENIOR CITIZENS, INC.
NPI: 1508265562
· PARSONS, WV 26287
· In Home Supportive Care Agency
· NPI assigned 08/15/2014
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.
$1.75M
Total Medicaid Paid
Provider Details
| Authorized Official | TUESING, ROXANNE (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 08/15/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
688 |
$283K |
| 2019 |
625 |
$304K |
| 2020 |
521 |
$239K |
| 2021 |
946 |
$325K |
| 2022 |
1,183 |
$376K |
| 2023 |
195 |
$215K |
| 2024 |
196 |
$7K |
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) |
4,174 |
1,242 |
$1.75M |
| T1002 |
Rn services, up to 15 minutes |
180 |
179 |
$2K |