PINE TREE HOME HEALTH CARE INC.
NPI: 1326373275
· NEW GLOUCESTER, ME 04260
· Nursing Care Agency
· NPI assigned 10/09/2009
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.
$5.09M
Total Medicaid Paid
Provider Details
| Authorized Official | CONGER, LENORA (PRESIDENT) |
| NPI Enumeration Date | 10/09/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,690 |
$849K |
| 2019 |
2,260 |
$772K |
| 2020 |
2,242 |
$854K |
| 2021 |
2,478 |
$645K |
| 2022 |
2,186 |
$677K |
| 2023 |
2,411 |
$652K |
| 2024 |
1,798 |
$647K |
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) |
16,065 |
3,020 |
$5.09M |