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FAMILY SERVICE OF MARION & HARRISON COUNTIES INC
FAMILY SERVICE OF MARION & HARRISON COUNTIES INC
NPI: 1942568316
· FAIRMONT, WV 26554
· Community/Behavioral Health Agency
· NPI assigned 04/24/2012
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$5.47M
Total Medicaid Paid
Provider Details
| Authorized Official | JONES, CAROLYN (DIRECTOR) |
| NPI Enumeration Date | 04/24/2012 |
Related Entities
Other providers sharing the same authorized official: JONES, CAROLYN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
894 |
$144K |
| 2019 |
1,480 |
$326K |
| 2020 |
2,194 |
$660K |
| 2021 |
2,676 |
$1.11M |
| 2022 |
3,216 |
$1.75M |
| 2023 |
1,435 |
$1.02M |
| 2024 |
1,135 |
$459K |
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) |
9,682 |
2,660 |
$5.39M |
| T1002 |
Rn services, up to 15 minutes |
3,187 |
3,149 |
$55K |
| T1001 |
Nursing assessment / evaluation |
161 |
158 |
$19K |