PROFESSIONAL CARE HOME CARE AGENCY, INC.
NPI: 1083105175
· FORT LEE, NJ 07024
· Home Health Agency
· NPI assigned 05/23/2018
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.
$1.80M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
155 |
$16K |
| 2023 |
5,201 |
$580K |
| 2024 |
10,423 |
$1.21M |
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) |
15,779 |
872 |
$1.80M |