MEDICAL PROFESSIONALS, LLC
NPI: 1952355877
· LITTLE CANADA, MN 55117
· Home Health Agency
· NPI assigned 05/22/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
96% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$35.10M
Total Medicaid Paid
Provider Details
| Authorized Official | NEPAL, SHEKHAR (ADMINISTRATOR) |
| NPI Enumeration Date | 05/22/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,788 |
$196K |
| 2019 |
49,441 |
$3.73M |
| 2020 |
106,300 |
$8.81M |
| 2021 |
130,318 |
$10.99M |
| 2022 |
88,355 |
$7.62M |
| 2023 |
11,117 |
$503K |
| 2024 |
31,587 |
$3.26M |
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) |
391,068 |
13,224 |
$33.70M |
| S5130 |
Homemaker service, nos; per 15 minutes |
27,729 |
2,169 |
$1.33M |
| T1030 |
Nursing care, in the home, by registered nurse, per diem |
1,109 |
167 |
$71K |