HEAVENLY HOME SWEET HOME, INC.
NPI: 1659893998
· JACKSONVILLE, FL 32217
· Mental Health Counselor
· NPI assigned 07/07/2017
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$6.90M
Total Medicaid Paid
Provider Details
| Authorized Official | JAMES, GAIL (CEO) |
| NPI Enumeration Date | 07/07/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
5,886 |
$2.08M |
| 2023 |
13,754 |
$3.68M |
| 2024 |
5,498 |
$1.14M |
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) |
23,593 |
1,011 |
$6.85M |
| T1030 |
Nursing care, in the home, by registered nurse, per diem |
1,158 |
673 |
$40K |
| T1001 |
Nursing assessment / evaluation |
387 |
231 |
$8K |