COMMUNITY NURSING AGENCY, INC.
NPI: 1265677496
· RICHMOND HILL, NY 11419
· Nursing Care Agency
· NPI assigned 12/02/2008
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$29.35M
Total Medicaid Paid
Provider Details
| Authorized Official | ADHAR, YAVITRIE (DIRECTOR OF PATIENT CARE) |
| NPI Enumeration Date | 12/02/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
7,981 |
$1.07M |
| 2020 |
23,285 |
$3.03M |
| 2021 |
31,590 |
$4.18M |
| 2022 |
36,966 |
$5.38M |
| 2023 |
46,764 |
$7.64M |
| 2024 |
49,126 |
$8.04M |
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) |
195,512 |
7,949 |
$29.30M |
| T1022 |
Contracted home health agency services, all services provided under contract, per day |
159 |
159 |
$37K |
| 99199 |
Unlisted special service, procedure or report |
41 |
41 |
$7K |