WHISPERING OAKS RCF II, LLC
NPI: 1861656803
· POPLAR BLUFF, MO 63901
· Assisted Living Facility
· NPI assigned 07/17/2008
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.
$2.87M
Total Medicaid Paid
Provider Details
| Authorized Official | KEENEY, BRENDA (OWNER) |
| NPI Enumeration Date | 07/17/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
307 |
$227K |
| 2019 |
317 |
$258K |
| 2020 |
640 |
$363K |
| 2021 |
671 |
$382K |
| 2022 |
725 |
$486K |
| 2023 |
807 |
$578K |
| 2024 |
863 |
$580K |
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) |
2,947 |
2,426 |
$2.81M |
| T1001 |
Nursing assessment / evaluation |
1,383 |
1,178 |
$61K |