MEDICAL SOLUTIONS, INC.
NPI: 1225375470
· ROCHESTER, NY 14615
· In Home Supportive Care Agency
· NPI assigned 01/08/2013
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.
$67.86M
Total Medicaid Paid
Provider Details
| Authorized Official | ZIMMER, GREG (PRESIDENT) |
| NPI Enumeration Date | 01/08/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
152,453 |
$19.74M |
| 2019 |
186,116 |
$25.11M |
| 2020 |
190,366 |
$23.01M |
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) |
528,935 |
24,060 |
$67.86M |