YORK HEALTHCARE
NPI: 1366810095
· KEW GARDENS, NY 11415
· Home Health Agency
· NPI assigned 09/11/2015
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.
$56.57M
Total Medicaid Paid
Provider Details
| Authorized Official | ESCOBAR, MEL (ADMINISTRATOR) |
| NPI Enumeration Date | 09/11/2015 |
Related Entities
Other providers sharing the same authorized official: ESCOBAR, MEL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,427 |
$667K |
| 2019 |
11,420 |
$1.48M |
| 2020 |
14,271 |
$1.97M |
| 2021 |
29,891 |
$3.81M |
| 2022 |
65,168 |
$8.80M |
| 2023 |
113,052 |
$17.00M |
| 2024 |
144,979 |
$22.84M |
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) |
384,731 |
18,414 |
$56.52M |
| T1022 |
Contracted home health agency services, all services provided under contract, per day |
431 |
367 |
$45K |
| 99199 |
Unlisted special service, procedure or report |
46 |
46 |
$11K |