IMMACULATE HEART OF MARY-PCS, LLC
NPI: 1952424954
· MELVILLE, LA 71353
· Personal Care Attendant
· NPI assigned 04/06/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.
$16.30M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
52,384 |
$2.28M |
| 2019 |
39,077 |
$2.30M |
| 2020 |
35,122 |
$2.04M |
| 2021 |
33,918 |
$2.22M |
| 2022 |
31,138 |
$2.62M |
| 2023 |
28,853 |
$2.59M |
| 2024 |
24,444 |
$2.25M |
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) |
244,936 |
10,611 |
$16.30M |