Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

POLO CARE INC

NPI: 1316486327 · JAMAICA, NY 11432 · Home Health Agency · NPI assigned 02/23/2017

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.

$1.75M
Total Medicaid Paid
14,576
Total Claims
591
Beneficiaries
1
Codes Billed
2018-10
First Month
2022-09
Last Month

Provider Details

Authorized OfficialWILLIAMS, FAY (MANAGER)
NPI Enumeration Date02/23/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 972 $106K
2019 3,552 $420K
2020 2,169 $268K
2021 4,779 $586K
2022 3,104 $374K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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) 14,576 591 $1.75M