AVANA PERSONAL CARE, LLC
NPI: 1598201709
· LAS VEGAS, NV 89102
· Home Health Agency
· NPI assigned 01/11/2017
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.
$5.49M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,927 |
$745K |
| 2019 |
6,065 |
$858K |
| 2020 |
10,418 |
$795K |
| 2021 |
13,120 |
$826K |
| 2022 |
12,303 |
$901K |
| 2023 |
8,691 |
$718K |
| 2024 |
5,696 |
$644K |
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) |
59,220 |
5,177 |
$5.49M |