MARION COUNTY SENIOR CITIZENS
NPI: 1861600876
· FAIRMONT, WV 26554
· Home Health Agency
· NPI assigned 05/21/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$1.38M
Total Medicaid Paid
Provider Details
| Authorized Official | WEBB, JONE (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 05/21/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
583 |
$435K |
| 2019 |
446 |
$364K |
| 2020 |
426 |
$332K |
| 2021 |
1,884 |
$216K |
| 2022 |
211 |
$30K |
| 2023 |
36 |
$470.52 |
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) |
2,710 |
880 |
$1.37M |
| T1002 |
Rn services, up to 15 minutes |
876 |
862 |
$10K |