PREFERRED HOME HEALTH CARE, INC
NPI: 1629294129
· MENASHA, WI 54952
· Home Health Agency
· NPI assigned 04/17/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$4.18M
Total Medicaid Paid
Provider Details
| Authorized Official | SCHAEFERS, WENDY (OWNER ADMINSTRATOR) |
| NPI Enumeration Date | 04/17/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25,044 |
$1.15M |
| 2019 |
18,728 |
$902K |
| 2020 |
14,154 |
$853K |
| 2021 |
11,533 |
$781K |
| 2022 |
6,344 |
$496K |
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) |
74,800 |
2,040 |
$4.14M |
| 99509 |
Home visit for assistance with activities of daily living and personal care |
1,003 |
958 |
$44K |