HEALTH & CARE PROFESSIONAL NETWORK
NPI: 1275953226
· LAS VEGAS, NV 89102
· Home Health Agency
· NPI assigned 04/17/2014
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.
$1.91M
Total Medicaid Paid
Provider Details
| Authorized Official | VIRAY, GEMMA (ADMINISTRATOR) |
| NPI Enumeration Date | 04/17/2014 |
Related Entities
Other providers sharing the same authorized official: VIRAY, GEMMA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
834 |
$122K |
| 2019 |
2,717 |
$299K |
| 2020 |
4,994 |
$353K |
| 2021 |
4,665 |
$303K |
| 2022 |
3,381 |
$239K |
| 2023 |
3,938 |
$261K |
| 2024 |
4,569 |
$335K |
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) |
25,098 |
2,240 |
$1.91M |