Medicaid Provider Spending

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

METROPOLITAN HOMECARE WAY, INC

NPI: 1346408077 · NEW YORK, NY 10040 · Home Health Agency · NPI assigned 05/29/2008

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

92% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.

$69.34M
Total Medicaid Paid
496,540
Total Claims
20,404
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFREED, ALEXANDER (PRESIDENT)
NPI Enumeration Date05/29/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28,695 $3.43M
2019 46,870 $7.27M
2020 75,470 $11.84M
2021 85,052 $12.54M
2022 83,093 $11.28M
2023 89,854 $11.84M
2024 87,506 $11.14M

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) 478,337 19,330 $63.53M
T1020 Personal care services, per diem, 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) 17,976 847 $5.76M
T1022 Contracted home health agency services, all services provided under contract, per day 227 227 $47K