SHINE GROUP INC.

NPI: 1609477603 · CENTENNIAL, CO 80122 · In Home Supportive Care Agency · NPI assigned 11/05/2020

$177K

Total Medicaid Paid

2,396

Total Claims

514

Beneficiaries

Codes Billed

2021-08

First Month

2021-12

Last Month

Provider Details

Authorized Official	MILLER, NATHAN (OWNER)
NPI Enumeration Date	11/05/2020

Other providers sharing the same authorized official: MILLER, NATHAN

Provider	City	State	Total Paid
SHINE GROUP INC.	COLORADO SPRINGS	CO	$948K
THRIVE COUNSELING LLC	LYNCHBURG	VA	$244K
COASTAL PAIN & SPINAL DIAGNOSTICS MEDICAL GROUP, INC.	CARLSBAD	CA	$144K

Year	Claims	Total Paid
2021	2,396	$177K

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)	1,118	103	$95K
S5130	Homemaker service, nos; per 15 minutes	993	144	$64K
S5161	Emergency response system; service fee, per month (excludes installation and testing)	238	225	$15K
S5185	Medication reminder service, non-face-to-face; per month	47	42	$3K