THE W GROUP AT NEW BROADVIEW, LLC
NPI: 1033611736
· STATEN ISLAND, NY 10305
· Assisted Living Facility
· NPI assigned 03/08/2018
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.
$5.05M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: GRAJALES, JENNIFER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
2,724 |
$443K |
| 2020 |
5,027 |
$754K |
| 2021 |
11,679 |
$779K |
| 2022 |
8,830 |
$859K |
| 2023 |
8,656 |
$850K |
| 2024 |
12,539 |
$1.36M |
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) |
47,015 |
1,835 |
$4.98M |
| S5125 |
Attendant care services; per 15 minutes |
2,440 |
80 |
$63K |