Medicaid Provider Spending

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

EDIRA FAMILY HOME CARE LLC

NPI: 1386141661 · FOREST HILLS, NY 11375 · Nursing Care Agency · NPI assigned 04/12/2018

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.

$11.01M
Total Medicaid Paid
67,999
Total Claims
2,747
Beneficiaries
1
Codes Billed
2019-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialKORNEYEVA, IRINA (ADMINISTRATOR)
NPI Enumeration Date04/12/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 2,176 $306K
2020 5,573 $812K
2021 11,496 $1.66M
2022 14,427 $2.21M
2023 16,938 $2.95M
2024 17,389 $3.07M

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) 67,999 2,747 $11.01M