MY PEACE KEEPER INC
NPI: 1679802631
· CHARLOTTE, NC 28227
· Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
· NPI assigned 12/21/2009
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T1017 with only 3 total codes billed. Highly concentrated billing profile.
$1.21M
Total Medicaid Paid
8,757
Beneficiary Records
Provider Details
| Authorized Official | POUGH, VIRGINIA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 12/21/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,663 |
$729K |
| 2019 |
5,221 |
$442K |
| 2020 |
462 |
$37K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| T1017 |
Targeted case management, each 15 minutes |
14,259 |
8,679 |
$1.20M |
| T1016 |
Case management, each 15 minutes |
69 |
60 |
$7K |
| H1017 |
|
18 |
18 |
$1K |