A-PLUS HOME HEALTH AGENCY, LLC
NPI: 1285174383
· BEDFORD HEIGHTS, OH 44146
· Home Health Agency
· NPI assigned 03/08/2017
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.
$1.93M
Total Medicaid Paid
Provider Details
| Authorized Official | DOWNEY, RACINE (CEO) |
| NPI Enumeration Date | 03/08/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
2,600 |
$211K |
| 2022 |
5,216 |
$474K |
| 2023 |
3,513 |
$176K |
| 2024 |
7,546 |
$1.07M |
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) |
18,875 |
866 |
$1.93M |