ACCESS II INDEPENDENT LIVING CENTER INC.
NPI: 1568416600
· GALLATIN, MO 64640
· Health Service Clinic/Center
· NPI assigned 05/22/2006
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.
$8.02M
Total Medicaid Paid
Provider Details
| Authorized Official | SWYMELER, HEATHER (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 05/22/2006 |
Related Entities
Other providers sharing the same authorized official: SWYMELER, HEATHER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
23,141 |
$1.41M |
| 2019 |
20,268 |
$1.24M |
| 2020 |
19,594 |
$1.20M |
| 2021 |
17,355 |
$1.03M |
| 2022 |
15,740 |
$1.02M |
| 2023 |
15,196 |
$1.08M |
| 2024 |
14,699 |
$1.04M |
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) |
125,925 |
6,258 |
$8.02M |
| T1028 |
Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs |
68 |
67 |
$5K |