BENMAX HEALTH SERVICES, LLC
NPI: 1346540861
· SILVER SPRING, MD 20910
· Nursing Care Agency
· NPI assigned 10/31/2010
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
94% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$1.53M
Total Medicaid Paid
Provider Details
| Authorized Official | NNKO, EMMANUEL (CHIEF EXACUTIVE OFFICER) |
| NPI Enumeration Date | 10/31/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
94 |
$20K |
| 2019 |
989 |
$306K |
| 2020 |
7,267 |
$810K |
| 2021 |
10,944 |
$393K |
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) |
17,652 |
853 |
$1.43M |
| T1005 |
Respite care services, up to 15 minutes |
1,629 |
167 |
$97K |
| T1028 |
Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs |
13 |
12 |
$980.21 |