PIERCE COUNTY DEPT OF HUMAN SERVICES
NPI: 1770659658
· ELLSWORTH, WI 54011
· Community/Behavioral Health Agency
· NPI assigned 11/24/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T1016 with only 2 total codes billed. Highly concentrated billing profile.
$1.07M
Total Medicaid Paid
Provider Details
| Authorized Official | BICHA, REGINALD (DIRECTOR) |
| NPI Enumeration Date | 11/24/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
648 |
$119K |
| 2019 |
739 |
$122K |
| 2020 |
863 |
$85K |
| 2021 |
1,532 |
$109K |
| 2022 |
1,733 |
$159K |
| 2023 |
2,155 |
$211K |
| 2024 |
2,309 |
$262K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
9,798 |
5,438 |
$1.06M |
| S5161 |
Emergency response system; service fee, per month (excludes installation and testing) |
181 |
177 |
$6K |