WELLCARE HEALTH MANAGEMENT, INC.
NPI: 1336516350
· MELVILLE, NY 11747
· In Home Supportive Care Agency
· NPI assigned 08/25/2015
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$42.49M
Total Medicaid Paid
Provider Details
| Authorized Official | GUO, HANG (CEO) |
| NPI Enumeration Date | 08/25/2015 |
Related Entities
Other providers sharing the same authorized official: GUO, HANG
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
15,513 |
$1.85M |
| 2019 |
35,506 |
$4.39M |
| 2020 |
57,817 |
$7.15M |
| 2021 |
64,972 |
$7.46M |
| 2022 |
67,693 |
$8.31M |
| 2023 |
64,152 |
$8.22M |
| 2024 |
40,384 |
$5.11M |
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) |
345,774 |
15,491 |
$42.44M |
| T1022 |
Contracted home health agency services, all services provided under contract, per day |
219 |
219 |
$39K |
| 99199 |
Unlisted special service, procedure or report |
44 |
44 |
$9K |