AL-SHAWK HOME HEALTHCARE, LLC
NPI: 1144752494
· PORTLAND, ME 04102
· Home Health Agency
· NPI assigned 03/28/2017
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.
$6.96M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,208 |
$583K |
| 2019 |
1,703 |
$767K |
| 2020 |
1,789 |
$1.01M |
| 2021 |
1,681 |
$683K |
| 2022 |
1,431 |
$1.02M |
| 2023 |
2,285 |
$1.35M |
| 2024 |
2,168 |
$1.54M |
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) |
12,265 |
2,335 |
$6.96M |