GRACE & MERCY ELDERLY CARE, INC
NPI: 1538436654
· MEMPHIS, TN 38115
· Home Health Agency
· NPI assigned 11/17/2011
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$3.18M
Total Medicaid Paid
Provider Details
| Authorized Official | DIXON, TONYA (OWNER) |
| NPI Enumeration Date | 11/17/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,704 |
$506K |
| 2019 |
7,979 |
$511K |
| 2020 |
9,275 |
$596K |
| 2021 |
6,162 |
$393K |
| 2022 |
4,394 |
$329K |
| 2023 |
1,699 |
$399K |
| 2024 |
2,676 |
$445K |
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) |
38,121 |
2,811 |
$3.10M |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
1,768 |
104 |
$81K |