GREAT DIRECT CARE, INC.
NPI: 1437500048
· BROOKLYN, NY 11218
· Home Health Agency
· NPI assigned 06/24/2016
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.
$109.12M
Total Medicaid Paid
Provider Details
| Authorized Official | PATEL, RUSHIK (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 06/24/2016 |
Related Entities
Other providers sharing the same authorized official: PATEL, RUSHIK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25,248 |
$2.86M |
| 2019 |
69,473 |
$8.41M |
| 2020 |
141,768 |
$17.76M |
| 2021 |
289,242 |
$38.32M |
| 2022 |
161,208 |
$22.30M |
| 2023 |
62,218 |
$9.10M |
| 2024 |
69,750 |
$10.38M |
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) |
818,349 |
33,616 |
$108.98M |
| T1020 |
Personal care services, per diem, 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) |
315 |
12 |
$97K |
| T1022 |
Contracted home health agency services, all services provided under contract, per day |
243 |
243 |
$41K |