BEYOND HEALTHCARE & EDUCATION, LLC
NPI: 1811343825
· WHITEHALL, OH 43213
· Nursing Care Agency
· NPI assigned 05/09/2016
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T1000 with only 2 total codes billed. Highly concentrated billing profile.
$1.29M
Total Medicaid Paid
Provider Details
| Authorized Official | DUNOR, FAMATTA (CEO) |
| NPI Enumeration Date | 05/09/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
242 |
$17K |
| 2019 |
660 |
$174K |
| 2020 |
3,290 |
$913K |
| 2021 |
636 |
$183K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1000 |
Private duty / independent nursing service(s) - licensed, up to 15 minutes |
4,586 |
226 |
$1.27M |
| 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) |
242 |
24 |
$17K |