FIVE STAR HOME HEALTH CARE AGENCY
NPI: 1194194498
· BROOKLYN, NY 11229
· Home Health Agency
· NPI assigned 09/17/2015
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$91.98M
Total Medicaid Paid
Provider Details
| Authorized Official | REGANO, MICHAEL (COMPLIANCE OFFICER) |
| NPI Enumeration Date | 09/17/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
27,677 |
$3.44M |
| 2019 |
62,106 |
$8.53M |
| 2020 |
81,363 |
$11.46M |
| 2021 |
93,524 |
$13.18M |
| 2022 |
101,456 |
$14.89M |
| 2023 |
121,113 |
$19.30M |
| 2024 |
128,722 |
$21.19M |
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) |
614,585 |
26,182 |
$91.67M |
| T1022 |
Contracted home health agency services, all services provided under contract, per day |
1,376 |
1,376 |
$306K |