METRO HOME HEALTH SERVICES, INC.
NPI: 1518987858
· MILWAUKEE, WI 53218
· Home Health Agency
· NPI assigned 07/20/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$8.17M
Total Medicaid Paid
Provider Details
| Authorized Official | JOHNSON, SIMONA (ADMINISTRATOR) |
| NPI Enumeration Date | 07/20/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24,002 |
$1.63M |
| 2019 |
16,694 |
$1.38M |
| 2020 |
15,148 |
$1.44M |
| 2021 |
15,702 |
$1.22M |
| 2022 |
22,067 |
$1.13M |
| 2023 |
19,847 |
$1.13M |
| 2024 |
4,226 |
$236K |
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) |
114,679 |
5,730 |
$8.04M |
| 99509 |
Home visit for assistance with activities of daily living and personal care |
3,007 |
2,903 |
$134K |