MD HEALTHCARE SERVICES-NJ, LLC
NPI: 1306263025
· FORT LEE, NJ 07024
· Home Health Agency
· NPI assigned 03/19/2014
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$4.34M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
11,916 |
$881K |
| 2019 |
11,859 |
$967K |
| 2020 |
8,459 |
$774K |
| 2021 |
8,056 |
$652K |
| 2022 |
5,865 |
$619K |
| 2023 |
3,453 |
$444K |
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) |
49,594 |
2,808 |
$4.34M |
| T1001 |
Nursing assessment / evaluation |
14 |
12 |
$105.00 |