Medicaid Provider Spending

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

WEST BRIGHTON HOME CARE SERVICES AGENCY , INC.

NPI: 1154710747 · STATEN ISLAND, NY 10301 · Home Health Agency · NPI assigned 01/20/2015

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

96% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.

$3.42M
Total Medicaid Paid
90,259
Total Claims
3,678
Beneficiaries
3
Codes Billed
2018-02
First Month
2023-02
Last Month

Provider Details

Authorized OfficialLUSTIG, AVI (ADMINISTRATOR)
NPI Enumeration Date01/20/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,013 $27K
2019 13,789 $542K
2020 14,954 $1.22M
2021 31,623 $1.19M
2022 21,722 $416K
2023 1,158 $22K

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) 89,545 3,037 $3.29M
S9123 Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) 502 429 $79K
T1030 Nursing care, in the home, by registered nurse, per diem 212 212 $44K