COTONEASTER INCORPORATED
NPI: 1609076850
· CARUTHERSVILLE, MO 63830
· Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
· NPI assigned 07/24/2007
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.
$13.12M
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, PAULA (VICE PRESIDENT) |
| NPI Enumeration Date | 07/24/2007 |
Related Entities
Other providers sharing the same authorized official: SMITH, PAULA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,873 |
$836K |
| 2019 |
9,379 |
$1.24M |
| 2020 |
9,407 |
$1.33M |
| 2021 |
9,125 |
$1.36M |
| 2022 |
9,421 |
$2.19M |
| 2023 |
9,538 |
$3.06M |
| 2024 |
8,586 |
$3.11M |
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) |
62,050 |
2,578 |
$13.06M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
279 |
278 |
$62K |