WESTERN NEW YORK INDEPENDENT LIVING, INC.
NPI: 1427267806
· BUFFALO, NY 14214
· Home Health Agency
· NPI assigned 05/22/2007
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.
$184.38M
Total Medicaid Paid
Provider Details
| Authorized Official | USIAK, DOUGLAS (CEO) |
| NPI Enumeration Date | 05/22/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
184,536 |
$23.95M |
| 2019 |
221,774 |
$31.29M |
| 2020 |
223,355 |
$28.14M |
| 2021 |
205,166 |
$25.76M |
| 2022 |
184,088 |
$21.36M |
| 2023 |
197,917 |
$27.99M |
| 2024 |
168,441 |
$25.90M |
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) |
1,379,438 |
81,224 |
$183.69M |
| S5125 |
Attendant care services; per 15 minutes |
5,781 |
364 |
$684K |
| T1022 |
Contracted home health agency services, all services provided under contract, per day |
58 |
58 |
$0.00 |