MERCY HEALTHCARE, INC.
NPI: 1902966278
· CHESTERFIELD, MO 63017
· Home Health Agency
· NPI assigned 12/09/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$4.74M
Total Medicaid Paid
Provider Details
| Authorized Official | RIVERA, EVE LYN (MEDICAL ADMINISTRATOR) |
| NPI Enumeration Date | 12/09/2006 |
Related Entities
Other providers sharing the same authorized official: RIVERA, EVE LYN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
19,682 |
$1.12M |
| 2019 |
16,857 |
$940K |
| 2020 |
12,661 |
$731K |
| 2021 |
13,260 |
$543K |
| 2022 |
8,589 |
$481K |
| 2023 |
7,518 |
$540K |
| 2024 |
4,930 |
$389K |
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) |
83,009 |
2,853 |
$4.72M |
| T1001 |
Nursing assessment / evaluation |
488 |
152 |
$21K |