CROSSTREE HEALTHCARE LLC
NPI: 1932863099
· KENNETT, MO 63857
· Assisted Living Facility
· NPI assigned 10/26/2021
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$5.53M
Total Medicaid Paid
Provider Details
| Authorized Official | COLE, SCOTT (OWNER) |
| NPI Enumeration Date | 10/26/2021 |
Related Entities
Other providers sharing the same authorized official: COLE, SCOTT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,964 |
$760K |
| 2019 |
1,900 |
$736K |
| 2020 |
1,608 |
$583K |
| 2022 |
2,394 |
$1.28M |
| 2023 |
1,805 |
$1.12M |
| 2024 |
1,744 |
$1.05M |
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) |
7,834 |
3,475 |
$5.37M |
| T1001 |
Nursing assessment / evaluation |
3,555 |
3,376 |
$154K |
| T1028 |
Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs |
26 |
26 |
$2K |