ADAM HEALTHCARE SERVICES
NPI: 1225583289
· WINTHROP, ME 04364
· Nursing Care Agency
· NPI assigned 08/19/2016
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
94% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$1.78M
Total Medicaid Paid
Provider Details
| Authorized Official | ADAM, AHMED (OWNER) |
| NPI Enumeration Date | 08/19/2016 |
Related Entities
Other providers sharing the same authorized official: ADAM, AHMED
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
679 |
$662K |
| 2019 |
736 |
$833K |
| 2020 |
172 |
$287K |
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) |
1,368 |
472 |
$1.67M |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
219 |
167 |
$110K |