SOUTHERN HOME CARE SERVICES, INC.
NPI: 1952612566
· OPELOUSAS, LA 70570
· In Home Supportive Care Agency
· NPI assigned 06/29/2010
Billing Flags
· Automated signals — not evidence of fraud
High Claims/Beneficiary Ratio
51 claims per beneficiary (threshold: 50). This could indicate intensive per-unit billing or warrant further review. Read more
Single-Code Concentration
92% of spending on code S5125 with only 2 total codes billed. Highly concentrated billing profile.
Entity Proliferation
Authorized official PEMBERTON, MARGARET controls 20+ related entities in our dataset. Read more
$10.67M
Total Medicaid Paid
Provider Details
| Authorized Official | PEMBERTON, MARGARET (VICE PRESIDENT AND DIRECTOR) |
| NPI Enumeration Date | 06/29/2010 |
Related Entities
Other providers sharing the same authorized official: PEMBERTON, MARGARET
| Provider | City | State | Total Paid |
|---|
| CREATIVE NETWORKS, L.L.C. |
PHOENIX |
AZ |
$159.68M |
| SOUTHERN HOME CARE SERVICES, INC. |
BETHEL |
AK |
$68.79M |
| RES-CARE WASHINGTON, INC |
COEUR D ALENE |
ID |
$31.64M |
| SOUTHERN HOME CARE SERVICES, INC. |
AIKEN |
SC |
$6.65M |
| SOUTHERN HOME CARE SERVICES, INC. |
MISSOULA |
MT |
$5.30M |
| RES-CARE OKLAHOMA, INC. |
OKLAHOMA CITY |
OK |
$5.18M |
| ADORATION HOSPICE, LLC |
MADISON |
TN |
$2.74M |
| SOUTHERN HOME CARE SERVICES, INC. |
GREENWOOD |
SC |
$1.52M |
| SOUTHERN HOME CARE SERVICES, INC |
JENNINGS |
LA |
$1.18M |
| RES-CARE PREMIER, INC. |
MILAN |
MI |
$1.17M |
| SHC MEDICAL PARTNERS OF FLORIDA, LLC |
PENSACOLA |
FL |
$425K |
| SOUTHERN HOME CARE SERVICES, INC. |
CLEARWATER |
FL |
$421K |
| ICP ARKANSAS ACO BILLING LLC |
MAUMELLE |
AR |
$345K |
| RES-CARE WASHINGTON, INC. |
NAMPA |
ID |
$274K |
| ADORATION HOME HEALTH CARE VIRGINIA LLC |
WISE |
VA |
$257K |
| RES-CARE WASHINGTON, INC. |
BOISE |
ID |
$220K |
| PROGRESSIVE REHABILITATION ASSOCIATES LLC |
PORTLAND |
OR |
$105K |
| RWW OUTPATIENT REHAB SERVICES, LLC |
GOODYEAR |
AZ |
$70K |
| HOME HEALTH CARE SERVICES II, INC. |
CLEVELAND |
MS |
$53K |
| RWW OUTPATIENT REHAB SERVICES, LLC |
HENDERSONVILLE |
TN |
$25K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
40,489 |
$1.22M |
| 2019 |
48,260 |
$1.43M |
| 2020 |
30,786 |
$1.43M |
| 2021 |
20,213 |
$1.40M |
| 2022 |
34,270 |
$1.88M |
| 2023 |
26,802 |
$1.77M |
| 2024 |
11,604 |
$1.53M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5125 |
Attendant care services; per 15 minutes |
176,607 |
3,421 |
$9.76M |
| 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) |
35,817 |
768 |
$906K |