ALWAYS CARING HEALTH CARE SERVICES, LLC
NPI: 1346411857
· WEST NEW YORK, NJ 07093
· Home Health Agency
· NPI assigned 03/13/2008
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.
$76.22M
Total Medicaid Paid
Provider Details
| Authorized Official | MORENO, EDITH (DIRECTOR OF OPERATIONS) |
| NPI Enumeration Date | 03/13/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
157,132 |
$9.04M |
| 2019 |
151,995 |
$10.26M |
| 2020 |
122,084 |
$9.30M |
| 2021 |
114,983 |
$10.11M |
| 2022 |
121,279 |
$12.40M |
| 2023 |
118,428 |
$13.04M |
| 2024 |
103,429 |
$12.07M |
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) |
887,583 |
40,393 |
$76.16M |
| T1001 |
Nursing assessment / evaluation |
1,747 |
1,691 |
$60K |