COMMUNITY CAREGIVERS OF MEDINA COUNTY LLC.
NPI: 1841430378
· WADSWORTH, OH 44281
· Home Health Agency
· NPI assigned 02/24/2009
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$5.51M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25,406 |
$906K |
| 2019 |
18,874 |
$874K |
| 2020 |
13,287 |
$841K |
| 2021 |
10,427 |
$727K |
| 2022 |
11,165 |
$731K |
| 2023 |
11,583 |
$262K |
| 2024 |
10,531 |
$1.16M |
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) |
98,089 |
4,545 |
$5.43M |
| T1001 |
Nursing assessment / evaluation |
2,127 |
1,879 |
$52K |
| G0156 |
Services of home health/hospice aide in home health or hospice settings, each 15 minutes |
1,057 |
52 |
$19K |