DAVID J WEGMAN
NPI: 1316066566
· HILTON, NY 14468
· Home Health Agency
· NPI assigned 03/28/2007
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.
$95.05M
Total Medicaid Paid
21,907
Beneficiary Records
Provider Details
| Authorized Official | MOHAMED, OMAR (OUTSOURCED CONTROLLER) |
| NPI Enumeration Date | 03/28/2007 |
Related Entities
Other providers sharing the same authorized official: MOHAMED, OMAR
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
48,679 |
$8.48M |
| 2019 |
55,859 |
$11.89M |
| 2020 |
62,330 |
$12.39M |
| 2021 |
108,344 |
$21.29M |
| 2022 |
58,099 |
$11.38M |
| 2023 |
58,954 |
$13.37M |
| 2024 |
76,688 |
$16.26M |
Billing Codes
| Code | Description | Claims | Bene. Records | 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) |
468,939 |
21,894 |
$95.05M |
| T1001 |
Nursing assessment / evaluation |
14 |
13 |
$816.33 |