GENII HEALTHCARE SERVICES,LLC
NPI: 1972939205
· SAINT LOUIS, MO 63108
· Home Health Agency
· NPI assigned 09/18/2013
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$5.58M
Total Medicaid Paid
Provider Details
| Authorized Official | GILES, JEFFREY (OWNER/MANAGER) |
| NPI Enumeration Date | 09/18/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,257 |
$712K |
| 2019 |
3,537 |
$664K |
| 2020 |
2,018 |
$714K |
| 2021 |
2,746 |
$749K |
| 2022 |
12,506 |
$969K |
| 2023 |
14,848 |
$958K |
| 2024 |
11,785 |
$815K |
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) |
49,078 |
3,732 |
$5.40M |
| S5150 |
Unskilled respite care, not hospice; per 15 minutes |
1,772 |
98 |
$98K |
| T1001 |
Nursing assessment / evaluation |
1,847 |
480 |
$78K |