THE FULL COVERAGE PDN COMPANY
NPI: 1801286232
· RALEIGH, NC 27615
· Nursing Care Agency
· NPI assigned 01/22/2015
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code T1000 with only 3 total codes billed. Highly concentrated billing profile.
$41.22M
Total Medicaid Paid
Provider Details
| Authorized Official | PIPPIN, HERMAN (ADMINISTRATOR) |
| NPI Enumeration Date | 01/22/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,422 |
$4.20M |
| 2019 |
11,399 |
$5.47M |
| 2020 |
12,933 |
$6.39M |
| 2021 |
11,266 |
$5.67M |
| 2022 |
10,772 |
$5.45M |
| 2023 |
13,823 |
$7.12M |
| 2024 |
12,706 |
$6.93M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1000 |
Private duty / independent nursing service(s) - licensed, up to 15 minutes |
78,149 |
2,431 |
$39.86M |
| T1005 |
Respite care services, up to 15 minutes |
3,018 |
717 |
$1.35M |
| A4927 |
Gloves, non-sterile, per 100 |
154 |
154 |
$12K |