PROMPT MEDICAL HEALTHCARE LLC
NPI: 1558877803
· HAZELWOOD, MO 63042
· Home Health Agency
· NPI assigned 12/22/2017
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.
$2.46M
Total Medicaid Paid
Provider Details
| Authorized Official | IVORY, REGINA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 12/22/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
775 |
$215K |
| 2021 |
1,100 |
$301K |
| 2022 |
1,555 |
$385K |
| 2023 |
3,772 |
$689K |
| 2024 |
4,577 |
$873K |
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) |
11,779 |
1,242 |
$2.46M |