M.O.D. INC.,
NPI: 1821201484
· DENVER, CO 80205
· Home Health Agency
· NPI assigned 05/08/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$3.15M
Total Medicaid Paid
Provider Details
| Authorized Official | LYONS, DENISE (PRESIDENT) |
| NPI Enumeration Date | 05/08/2007 |
Related Entities
Other providers sharing the same authorized official: LYONS, DENISE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,571 |
$472K |
| 2019 |
1,305 |
$450K |
| 2020 |
1,239 |
$525K |
| 2021 |
1,245 |
$499K |
| 2022 |
1,411 |
$501K |
| 2023 |
1,109 |
$417K |
| 2024 |
739 |
$287K |
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) |
8,488 |
2,325 |
$3.13M |
| S5130 |
Homemaker service, nos; per 15 minutes |
131 |
36 |
$15K |