SUNSHINE IN HOME SERVICES, INC
NPI: 1982887998
· BRIDGETON, MO 63044
· Homemaker
· NPI assigned 12/12/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
93% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$6.74M
Total Medicaid Paid
Provider Details
| Authorized Official | ODIGIE, ERIC (DIRECTOR) |
| NPI Enumeration Date | 12/12/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,569 |
$683K |
| 2019 |
1,744 |
$750K |
| 2020 |
1,963 |
$888K |
| 2021 |
4,320 |
$925K |
| 2022 |
14,006 |
$1.00M |
| 2023 |
19,286 |
$1.28M |
| 2024 |
18,512 |
$1.22M |
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) |
50,116 |
3,907 |
$6.31M |
| S5130 |
Homemaker service, nos; per 15 minutes |
8,610 |
386 |
$264K |
| T1001 |
Nursing assessment / evaluation |
2,674 |
922 |
$175K |