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MORA VALLEY COMMUNITY HEALTH SERVICES, INC
MORA VALLEY COMMUNITY HEALTH SERVICES, INC
NPI: 1700864204
· MORA, NM 87732
· Home Health Agency
· NPI assigned 01/04/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
92% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$2.71M
Total Medicaid Paid
Provider Details
| Authorized Official | FRENCH, LORRAINE (OFFICE MANAGER CARDID DE SAN ANTONI) |
| NPI Enumeration Date | 01/04/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,411 |
$432K |
| 2019 |
7,116 |
$454K |
| 2020 |
6,570 |
$454K |
| 2021 |
6,297 |
$458K |
| 2022 |
4,853 |
$352K |
| 2023 |
4,134 |
$300K |
| 2024 |
3,184 |
$258K |
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) |
38,813 |
1,513 |
$2.48M |
| 99509 |
Home visit for assistance with activities of daily living and personal care |
752 |
226 |
$225K |