HMR ACQUISITION, LCA
NPI: 1922433168
· LOUISVILLE, KY 40207
· Case Management Agency
· NPI assigned 09/06/2013
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T2022 with only 2 total codes billed. Highly concentrated billing profile.
$7.00M
Total Medicaid Paid
Provider Details
| Authorized Official | COOMES, CYNTHIA (PRESIDENT) |
| NPI Enumeration Date | 09/06/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,713 |
$672K |
| 2019 |
3,152 |
$830K |
| 2020 |
3,398 |
$945K |
| 2021 |
3,543 |
$969K |
| 2022 |
3,549 |
$1.17M |
| 2023 |
3,554 |
$1.26M |
| 2024 |
3,075 |
$1.15M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2022 |
Case management, per month |
22,969 |
21,858 |
$7.00M |
| T1028 |
Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs |
15 |
14 |
$1K |