CHEROKEE RESIDENTIAL CARE ACQUISITION, LLC
NPI: 1730568874
· SAINT LOUIS, MO 63118
· Assisted Living Facility
· NPI assigned 05/21/2015
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$4.30M
Total Medicaid Paid
Provider Details
| Authorized Official | PATE, JOANN (PRESIDENT) |
| NPI Enumeration Date | 05/21/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
853 |
$371K |
| 2019 |
865 |
$374K |
| 2020 |
1,647 |
$561K |
| 2021 |
1,304 |
$636K |
| 2022 |
1,149 |
$783K |
| 2023 |
899 |
$803K |
| 2024 |
797 |
$776K |
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) |
5,591 |
2,401 |
$4.16M |
| T1001 |
Nursing assessment / evaluation |
1,923 |
1,671 |
$148K |