EXPERT NURSING COMPANION SERVICE INC
NPI: 1780903815
· DENVER, CO 80222
· Home Health Agency
· NPI assigned 05/28/2010
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
95% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$4.76M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
710 |
$323K |
| 2019 |
783 |
$391K |
| 2020 |
788 |
$487K |
| 2021 |
872 |
$582K |
| 2022 |
941 |
$713K |
| 2023 |
1,641 |
$1.07M |
| 2024 |
1,429 |
$1.20M |
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) |
6,510 |
2,481 |
$4.52M |
| S5130 |
Homemaker service, nos; per 15 minutes |
654 |
305 |
$243K |