PACIFIC HEALTH SYSTEMS LLC
NPI: 1568915809
· STOCKBRIDGE, GA 30281
· 251E00000X
$9.88M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
413 |
$215K |
| 2019 |
901 |
$390K |
| 2020 |
2,866 |
$1.07M |
| 2021 |
4,749 |
$1.44M |
| 2022 |
16,802 |
$2.09M |
| 2023 |
16,534 |
$2.36M |
| 2024 |
14,951 |
$2.31M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1019 |
Personal care ser per 15 min |
41,905 |
3,012 |
$6.28M |
| T2025 |
Waiver service, nos |
12,981 |
660 |
$2.63M |
| T1021 |
Hh aide or cn aide per visit |
2,289 |
507 |
$950K |
| T2028 |
Special supply, nos waiver |
41 |
36 |
$10K |