UPSTATE LIVING WATER, LLC
NPI: 1740768464
· GREENVILLE, SC 29607
· In Home Supportive Care Agency
· NPI assigned 08/03/2018
$248K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
1,015 |
$40K |
| 2023 |
2,304 |
$160K |
| 2024 |
487 |
$48K |
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) |
3,584 |
189 |
$241K |
| S5130 |
Homemaker service, nos; per 15 minutes |
222 |
12 |
$7K |