XTREME HOME CARE OF THE UPSTATE, LLC
NPI: 1780461517
· BELTON, SC 29627
· Home Health Agency
· NPI assigned 09/14/2023
$155K
Total Medicaid Paid
Provider Details
| Authorized Official | FIELDS, DAVID (CO-OWNER) |
| NPI Enumeration Date | 09/14/2023 |
Related Entities
Other providers sharing the same authorized official: FIELDS, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
1,621 |
$155K |
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) |
1,621 |
96 |
$155K |