SMITH CARE RESIDENTIAL, LLC
NPI: 1831798214
· WARRENSBURG, MO 64093
· Assisted Living Facility (Mental Illness)
· NPI assigned 10/18/2020
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$1.95M
Total Medicaid Paid
Provider Details
| Authorized Official | COLLINS, SANDY (MANAGER) |
| NPI Enumeration Date | 10/18/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
364 |
$117K |
| 2019 |
552 |
$147K |
| 2020 |
1,081 |
$305K |
| 2021 |
934 |
$375K |
| 2022 |
944 |
$434K |
| 2023 |
611 |
$294K |
| 2024 |
575 |
$279K |
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) |
3,940 |
2,353 |
$1.90M |
| T1001 |
Nursing assessment / evaluation |
1,121 |
796 |
$46K |