PRESTIGE LHCSA MANAGEMENT, INC
NPI: 1174914477
· BRONX, NY 10451
· Home Health Agency
· NPI assigned 02/09/2015
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$154.67M
Total Medicaid Paid
Provider Details
| Authorized Official | SCHEINER, KAYLA (SERVICE CENTER MANAGER) |
| NPI Enumeration Date | 02/09/2015 |
Related Entities
Other providers sharing the same authorized official: SCHEINER, KAYLA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
90,383 |
$11.65M |
| 2019 |
117,729 |
$16.68M |
| 2020 |
132,860 |
$17.84M |
| 2021 |
143,560 |
$18.34M |
| 2022 |
197,822 |
$25.81M |
| 2023 |
239,560 |
$34.98M |
| 2024 |
189,796 |
$29.38M |
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) |
1,110,168 |
60,904 |
$154.26M |
| 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) |
1,069 |
44 |
$349K |
| T1022 |
Contracted home health agency services, all services provided under contract, per day |
473 |
358 |
$60K |