EXCEPTIONAL HOME CARE
NPI: 1588686521
· FORT WORTH, TX 76112
· In Home Supportive Care Agency
· NPI assigned 07/25/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.
$10.21M
Total Medicaid Paid
8,166
Beneficiary Records
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,414 |
$192K |
| 2019 |
3,469 |
$306K |
| 2020 |
12,853 |
$790K |
| 2021 |
37,610 |
$2.55M |
| 2022 |
24,869 |
$1.77M |
| 2023 |
25,325 |
$1.91M |
| 2024 |
32,548 |
$2.71M |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
138,070 |
8,154 |
$10.21M |
| S9123 |
Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) |
18 |
12 |
$390.51 |