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HEAVENLY CIRCLE LIMITED LIABILITY COMPANY
HEAVENLY CIRCLE LIMITED LIABILITY COMPANY
NPI: 1932461571
· LORAIN, OH 44052
· Home Health Aide
· NPI assigned 06/11/2012
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.
$2.74M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,391 |
$506K |
| 2019 |
6,760 |
$594K |
| 2020 |
7,105 |
$604K |
| 2021 |
6,460 |
$586K |
| 2022 |
4,017 |
$400K |
| 2023 |
904 |
$51K |
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) |
31,568 |
1,543 |
$2.74M |
| T1001 |
Nursing assessment / evaluation |
69 |
50 |
$1K |