HEART & SOUL LLC
NPI: 1881936748
· NEWPORT NEWS, VA 23605
· Child Intellectual and/or Developmental Disabilities Respite Care
· NPI assigned 03/19/2013
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code H2017 with only 3 total codes billed. Highly concentrated billing profile.
$2.70M
Total Medicaid Paid
Provider Details
| Authorized Official | MASON, EDNORA (CLINICIAN) |
| NPI Enumeration Date | 03/19/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,143 |
$369K |
| 2019 |
6,161 |
$482K |
| 2020 |
4,109 |
$292K |
| 2021 |
3,444 |
$268K |
| 2022 |
4,745 |
$356K |
| 2023 |
5,281 |
$439K |
| 2024 |
5,673 |
$499K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
30,699 |
2,346 |
$2.70M |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
816 |
25 |
$2K |
| H0032 |
Mental health service plan development by non-physician |
41 |
38 |
$1K |