L&G ENTERPRISES USA LLC
NPI: 1366033318
· FOREST HILLS, NY 11375
· Home Health Agency
· NPI assigned 02/02/2021
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.
$14.53M
Total Medicaid Paid
Provider Details
| Authorized Official | YUSHUVA, LARISA (ADMINISTRATOR) |
| NPI Enumeration Date | 02/02/2021 |
Related Entities
Other providers sharing the same authorized official: YUSHUVA, LARISA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,395 |
$200K |
| 2022 |
20,492 |
$3.40M |
| 2023 |
23,997 |
$4.85M |
| 2024 |
30,918 |
$6.08M |
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) |
76,802 |
3,013 |
$14.53M |