PERSONAL CARE CONCEPTS, INC
NPI: 1659468817
· MARION, IN 46953
· Home Health Agency
· NPI assigned 10/09/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
95% of spending on code 99600 with only 3 total codes billed. Highly concentrated billing profile.
$7.49M
Total Medicaid Paid
Provider Details
| Authorized Official | TIPTON, BETH (VICE PRESIDENT) |
| NPI Enumeration Date | 10/09/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
17,826 |
$1.54M |
| 2019 |
14,531 |
$1.34M |
| 2020 |
11,169 |
$1.14M |
| 2021 |
10,046 |
$1.09M |
| 2022 |
8,789 |
$908K |
| 2023 |
8,048 |
$935K |
| 2024 |
4,221 |
$549K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99600 |
Unlisted home visit service or procedure |
63,740 |
2,627 |
$7.15M |
| S5125 |
Attendant care services; per 15 minutes |
6,496 |
433 |
$249K |
| S5130 |
Homemaker service, nos; per 15 minutes |
4,394 |
422 |
$96K |