SIMPSON SOLUTIONS, LLC
NPI: 1235673930
· MOUNT VERNON, NY 10550
· Home Health Agency
· NPI assigned 12/14/2016
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.
$9.29M
Total Medicaid Paid
Provider Details
| Authorized Official | HAYAT, SYED (ADMINISTRATOR) |
| NPI Enumeration Date | 12/14/2016 |
Related Entities
Other providers sharing the same authorized official: HAYAT, SYED
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
6,212 |
$875K |
| 2022 |
7,536 |
$1.15M |
| 2023 |
15,271 |
$2.66M |
| 2024 |
26,787 |
$4.61M |
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) |
55,806 |
3,018 |
$9.29M |