SHAMROCK CONSUMER CARE, LLC
NPI: 1922391093
· KIRKWOOD, MO 63122
· Supports Brokerage Agency
· NPI assigned 05/24/2011
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.
$7.13M
Total Medicaid Paid
Provider Details
| Authorized Official | FADLER, JUSTIN (MEMBER) |
| NPI Enumeration Date | 05/24/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
17,338 |
$874K |
| 2019 |
18,567 |
$915K |
| 2020 |
19,684 |
$984K |
| 2021 |
18,222 |
$921K |
| 2022 |
17,538 |
$1.04M |
| 2023 |
17,695 |
$1.18M |
| 2024 |
17,143 |
$1.21M |
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) |
126,187 |
5,113 |
$7.13M |