COALFIELD COMMUNITY ACTION PARTNERS
NPI: 1750581310
· WILLIAMSON, WV 25661
· Home Health Agency
· NPI assigned 07/23/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$1.89M
Total Medicaid Paid
Provider Details
| Authorized Official | JEWELL, DAVID (DIRECTOR OF FINANCE) |
| NPI Enumeration Date | 07/23/2007 |
Related Entities
Other providers sharing the same authorized official: JEWELL, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
744 |
$331K |
| 2019 |
826 |
$362K |
| 2020 |
760 |
$423K |
| 2021 |
898 |
$460K |
| 2022 |
4,018 |
$309K |
| 2023 |
297 |
$4K |
| 2024 |
195 |
$3K |
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) |
5,441 |
1,731 |
$1.86M |
| T1002 |
Rn services, up to 15 minutes |
2,271 |
2,266 |
$33K |
| S5130 |
Homemaker service, nos; per 15 minutes |
26 |
26 |
$0.00 |