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GRACE AND MERCY PERSONAL CARE AND RESPITE SERVICE, LLC
GRACE AND MERCY PERSONAL CARE AND RESPITE SERVICE, LLC
NPI: 1790835635
· CLINTON, MS 39056
· Homemaker
· NPI assigned 01/11/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
92% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$93.19M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
165,361 |
$9.03M |
| 2019 |
158,703 |
$9.46M |
| 2020 |
170,311 |
$10.91M |
| 2021 |
178,708 |
$12.54M |
| 2022 |
129,816 |
$13.47M |
| 2023 |
29,966 |
$17.66M |
| 2024 |
29,672 |
$20.12M |
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) |
735,287 |
53,572 |
$85.58M |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
127,250 |
10,266 |
$7.61M |