SHEPPARD, SHIRL
NPI: 1952422941
· ORMOND BEACH, FL 32174
· Nurse's Aide
· NPI assigned 04/03/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
91% of spending on code S5130 with only 3 total codes billed. Highly concentrated billing profile.
$4.77M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,553 |
$654K |
| 2019 |
9,627 |
$933K |
| 2020 |
6,930 |
$491K |
| 2021 |
5,947 |
$369K |
| 2022 |
6,612 |
$643K |
| 2023 |
6,510 |
$814K |
| 2024 |
5,977 |
$872K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5130 |
Homemaker service, nos; per 15 minutes |
45,866 |
2,726 |
$4.32M |
| 97535 |
Self-care/home management training, each 15 minutes |
3,958 |
670 |
$422K |
| S5135 |
Companion care, adult (e.g., iadl/adl); per 15 minutes |
332 |
38 |
$31K |