GOLDEN RULE CARE PROVIDER, LLC
NPI: 1720197668
· BREAUX BRIDGE, LA 70517
· In Home Supportive Care Agency
· NPI assigned 08/30/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.
$6.96M
Total Medicaid Paid
Provider Details
| Authorized Official | MORAIN, MARY (OWNER) |
| NPI Enumeration Date | 08/30/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,295 |
$496K |
| 2019 |
12,010 |
$732K |
| 2020 |
12,463 |
$738K |
| 2021 |
13,603 |
$943K |
| 2022 |
15,401 |
$1.40M |
| 2023 |
14,755 |
$1.42M |
| 2024 |
12,284 |
$1.22M |
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) |
90,811 |
4,218 |
$6.96M |