KANAWHA VALLEY SENIOR SERVICES
NPI: 1982825972
· CHARLESTON, WV 25302
· Home Health Agency
· NPI assigned 05/01/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$2.21M
Total Medicaid Paid
Provider Details
| Authorized Official | HIRST, MELANIE (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 05/01/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
806 |
$521K |
| 2019 |
713 |
$456K |
| 2020 |
653 |
$497K |
| 2021 |
4,596 |
$489K |
| 2022 |
2,959 |
$237K |
| 2023 |
238 |
$4K |
| 2024 |
185 |
$3K |
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) |
8,199 |
1,530 |
$2.18M |
| T1002 |
Rn services, up to 15 minutes |
1,951 |
1,934 |
$34K |