SOUTHVIEW HEALTH CARE, LLC.
NPI: 1720642010
· WEST PLAINS, MO 65775
· Mental Illness Community Based Residential Treatment Facility
· NPI assigned 04/23/2019
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.
$1.64M
Total Medicaid Paid
Provider Details
| Authorized Official | MILLER, KANDACE (OPERATIONS DIRECTOR) |
| NPI Enumeration Date | 04/23/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
300 |
$115K |
| 2019 |
306 |
$129K |
| 2020 |
548 |
$226K |
| 2021 |
586 |
$273K |
| 2022 |
643 |
$375K |
| 2023 |
378 |
$300K |
| 2024 |
313 |
$224K |
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) |
3,074 |
1,864 |
$1.64M |