MAJESTIC HOME HEALTH CARE, LLC
NPI: 1962760611
· SAINT LOUIS, MO 63136
· Home Health Agency
· NPI assigned 05/01/2012
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$5.76M
Total Medicaid Paid
Provider Details
| Authorized Official | WALLACE, MARKITA (DIRECTOR/PRESIDENT) |
| NPI Enumeration Date | 05/01/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,512 |
$672K |
| 2019 |
3,375 |
$672K |
| 2020 |
2,807 |
$700K |
| 2021 |
3,221 |
$815K |
| 2022 |
3,784 |
$965K |
| 2023 |
2,890 |
$1.02M |
| 2024 |
1,861 |
$916K |
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) |
19,858 |
4,209 |
$5.69M |
| T1001 |
Nursing assessment / evaluation |
1,592 |
505 |
$71K |