TENDER LOVING FAMILY CARE, INC.
NPI: 1043507262
· BROCKPORT, NY 14420
· Home Health Agency
· NPI assigned 07/08/2011
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$11.13M
Total Medicaid Paid
Provider Details
| Authorized Official | D'ANDREA, ANNIKA (PRESIDENT & CEO) |
| NPI Enumeration Date | 07/08/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,423 |
$340K |
| 2019 |
5,575 |
$1.13M |
| 2020 |
10,971 |
$2.51M |
| 2021 |
9,722 |
$2.83M |
| 2022 |
6,822 |
$1.96M |
| 2023 |
4,944 |
$1.45M |
| 2024 |
3,179 |
$926K |
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) |
43,417 |
2,591 |
$11.10M |
| T1001 |
Nursing assessment / evaluation |
219 |
201 |
$28K |