Agency
West Brighton Home Care Services Agency , INC.
West Brighton Home Care Services Agency , INC. was paid $3.42M by Medicaid between Feb 2018 and Feb 2023, across 3 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 96% of everything it billed.
33Billing provider infoWEST BRIGHTON HOME CARE SERVICES AGENCY , INC.
STATEN ISLAND, NY 10301
STATEN ISLAND, NY 10301
33aNPI1154710747assigned 01/20/2015
33bProvider typeHome Health Agency
28Total paid$3.42M
24GClaims90,259
24DCodes billed3
24AFirst – last monthFeb 2018 – Feb 2023
Compared with peers
Next to other Home Health Agency providers in New York
Rank by total paid#591 of 851
Median peer was paid$15.00M
This provider vs. median0.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration96% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1019 | Help at home with bathing, dressing and eating, billed per 15 minutesPersonal 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) | 96% | 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) | 2.3% | 502 | 429 | $79K |
| T1030 | Nursing care, in the home, by registered nurse, per diem | 1.3% | 212 | 212 | $44K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLUSTIG, AVI (ADMINISTRATOR)