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LUTHERAN SOCIAL SERVICES OF THE SOUTHWEST
LUTHERAN SOCIAL SERVICES OF THE SOUTHWEST
NPI: 1942510201
· TUCSON, AZ 85711
· Respite Care
· NPI assigned 10/20/2010
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
93% of spending on code S5125 with only 3 total codes billed. Highly concentrated billing profile.
$31.54M
Total Medicaid Paid
Provider Details
| Authorized Official | MONROE, CHARLES (PRESIDENT/CEO) |
| NPI Enumeration Date | 10/20/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
70,651 |
$4.62M |
| 2019 |
61,096 |
$4.33M |
| 2020 |
54,433 |
$4.21M |
| 2021 |
47,095 |
$3.80M |
| 2022 |
44,674 |
$4.22M |
| 2023 |
49,147 |
$5.36M |
| 2024 |
43,115 |
$5.01M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
334,955 |
15,796 |
$29.37M |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
33,802 |
3,524 |
$2.09M |
| S5135 |
Companion care, adult (e.g., iadl/adl); per 15 minutes |
1,454 |
630 |
$84K |