SPECIAL NEEDS CARE INC
NPI: 1609374115
· MIAMI, FL 33186
· Behavioral Analyst
· NPI assigned 01/30/2018
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
90% of spending on code S9122 with only 2 total codes billed. Highly concentrated billing profile.
$4.00M
Total Medicaid Paid
Provider Details
| Authorized Official | LASSUS, MIRIAM (CEO) |
| NPI Enumeration Date | 01/30/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
3,212 |
$290K |
| 2021 |
5,283 |
$534K |
| 2022 |
7,875 |
$836K |
| 2023 |
12,444 |
$1.27M |
| 2024 |
13,756 |
$1.06M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9122 |
Home health aide or certified nurse assistant, providing care in the home; per hour |
35,951 |
1,293 |
$3.60M |
| S5130 |
Homemaker service, nos; per 15 minutes |
6,619 |
367 |
$397K |