FULL CIRCLE HEALTH SERVICES LLC
NPI: 1194965434
· UNION, NJ 07083
· Home Health Agency
· NPI assigned 02/26/2009
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.
$13.99M
Total Medicaid Paid
Provider Details
| Authorized Official | OXFORD, DUANE (CEO) |
| NPI Enumeration Date | 02/26/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
32,046 |
$2.10M |
| 2019 |
25,856 |
$1.84M |
| 2020 |
21,085 |
$1.70M |
| 2021 |
18,578 |
$1.83M |
| 2022 |
22,396 |
$2.60M |
| 2023 |
18,800 |
$2.27M |
| 2024 |
13,145 |
$1.66M |
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) |
151,894 |
9,726 |
$13.99M |
| T1001 |
Nursing assessment / evaluation |
12 |
12 |
$420.00 |