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SOMETHING SPECIAL HOME CARE & ASSISTED SERVICES, INC.
SOMETHING SPECIAL HOME CARE & ASSISTED SERVICES, INC.
NPI: 1801237631
· MIDLAND, MI 48640
· In Home Supportive Care Agency
· NPI assigned 07/09/2013
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code H2015 with only 2 total codes billed. Highly concentrated billing profile.
$4.88M
Total Medicaid Paid
Provider Details
| Authorized Official | GALL, JAMES (PRESIDENT) |
| NPI Enumeration Date | 07/09/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
15,231 |
$1.12M |
| 2019 |
12,208 |
$905K |
| 2020 |
12,423 |
$1.07M |
| 2021 |
11,525 |
$1.07M |
| 2022 |
6,831 |
$578K |
| 2023 |
1,311 |
$138K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2015 |
Comprehensive community support services, per 15 minutes |
57,081 |
3,063 |
$4.86M |
| S0215 |
Non-emergency transportation; mileage, per mile |
2,448 |
375 |
$23K |