PERSONALIZED CARE, CONSUMER DIRECT SERVICES, LC
NPI: 1609287309
· FLORISSANT, MO 63033
· Home Health Agency
· NPI assigned 05/15/2014
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.
$4.19M
Total Medicaid Paid
Provider Details
| Authorized Official | WEST, ANTHONY (CHIEF OPERATIONS OFFICER) |
| NPI Enumeration Date | 05/15/2014 |
Related Entities
Other providers sharing the same authorized official: WEST, ANTHONY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,408 |
$610K |
| 2019 |
2,672 |
$670K |
| 2020 |
1,974 |
$543K |
| 2021 |
2,002 |
$564K |
| 2022 |
1,994 |
$596K |
| 2023 |
2,013 |
$671K |
| 2024 |
1,675 |
$532K |
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) |
14,670 |
2,648 |
$4.18M |
| T1001 |
Nursing assessment / evaluation |
68 |
24 |
$2K |