GIFTED HEART SERVICES, LLC
NPI: 1619094638
· SAINT MARTINVILLE, LA 70582
· Home Health Agency
· NPI assigned 03/23/2007
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.
$2.71M
Total Medicaid Paid
Provider Details
| Authorized Official | POLEDOR, SUSIE (CHIEF ADMINISTRATOR) |
| NPI Enumeration Date | 03/23/2007 |
Related Entities
Other providers sharing the same authorized official: POLEDOR, SUSIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,063 |
$267K |
| 2019 |
7,041 |
$377K |
| 2020 |
5,334 |
$265K |
| 2021 |
5,738 |
$340K |
| 2022 |
5,699 |
$413K |
| 2023 |
7,318 |
$519K |
| 2024 |
6,842 |
$525K |
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) |
44,035 |
1,784 |
$2.71M |