THE ELIOT MANAGEMENT GROUP LLC
NPI: 1194069484
· MIDDLETOWN, NY 10940
· Assisted Living Facility
· NPI assigned 11/27/2012
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$1.43M
Total Medicaid Paid
Provider Details
| Authorized Official | ZELMAN, NEIL (COO) |
| NPI Enumeration Date | 11/27/2012 |
Related Entities
Other providers sharing the same authorized official: ZELMAN, NEIL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,042 |
$164K |
| 2019 |
1,321 |
$191K |
| 2020 |
2,751 |
$359K |
| 2021 |
4,644 |
$452K |
| 2022 |
1,103 |
$59K |
| 2023 |
208 |
$20K |
| 2024 |
3,178 |
$185K |
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) |
14,233 |
1,015 |
$1.42M |
| 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) |
14 |
12 |
$10K |