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NPI: 1265742027
· BROOKLYN, NY 11235
· Home Health Agency
· NPI assigned 10/14/2010
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
93% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$111.62M
Total Medicaid Paid
Provider Details
| Authorized Official | BER, LEON (PRESIDENT) |
| NPI Enumeration Date | 10/14/2010 |
Related Entities
Other providers sharing the same authorized official: BER, LEON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
46,120 |
$6.51M |
| 2019 |
64,657 |
$10.55M |
| 2020 |
107,479 |
$17.82M |
| 2021 |
102,214 |
$17.22M |
| 2022 |
99,432 |
$17.23M |
| 2023 |
100,321 |
$18.88M |
| 2024 |
124,044 |
$23.40M |
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) |
617,709 |
23,354 |
$103.66M |
| T1020 |
Personal care services, per diem, 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) |
26,174 |
1,016 |
$7.94M |
| T1022 |
Contracted home health agency services, all services provided under contract, per day |
384 |
384 |
$19K |