FAMILY & FRIENDS HOME CARE, LLC
NPI: 1174900161
· YOUNGSTOWN, OH 44510
· Home Health Agency
· NPI assigned 04/29/2015
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$2.71M
Total Medicaid Paid
Provider Details
| Authorized Official | BUNCH, ADRIANN (CHIEF OPERATING OFFICER) |
| NPI Enumeration Date | 04/29/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
11,258 |
$609K |
| 2019 |
12,831 |
$743K |
| 2020 |
6,171 |
$365K |
| 2021 |
5,147 |
$348K |
| 2022 |
3,743 |
$278K |
| 2023 |
616 |
$26K |
| 2024 |
2,743 |
$343K |
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) |
41,673 |
2,055 |
$2.69M |
| T1001 |
Nursing assessment / evaluation |
737 |
643 |
$17K |
| T1003 |
Lpn/lvn services, up to 15 minutes |
99 |
12 |
$5K |