Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

RISEBORO HOMECARE INC

NPI: 1134264948 · BROOKLYN, NY 11206 · Home Health Agency · NPI assigned 02/20/2007

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

92% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

$157.13M
Total Medicaid Paid
710,965
Total Claims
31,906
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHORT, SCOTT (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date02/20/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 80,488 $15.27M
2019 103,243 $21.86M
2020 121,714 $27.14M
2021 119,551 $24.82M
2022 106,952 $24.22M
2023 96,160 $23.37M
2024 82,857 $20.45M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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) 673,175 30,388 $145.00M
T1020 Personal care services, per diem, 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) 37,790 1,518 $12.13M