RAICES HOMECARE, INC.
NPI: 1437505930
· BROOKLYN, NY 11208
· Home Health Agency
· NPI assigned 05/13/2016
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.
$66.62M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: VILLAFANA, RAFAELA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
38,463 |
$3.93M |
| 2019 |
40,160 |
$5.17M |
| 2020 |
45,994 |
$5.85M |
| 2021 |
71,189 |
$9.82M |
| 2022 |
177,535 |
$27.44M |
| 2023 |
47,633 |
$7.76M |
| 2024 |
43,337 |
$6.67M |
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) |
463,801 |
20,088 |
$66.52M |
| T1022 |
Contracted home health agency services, all services provided under contract, per day |
478 |
478 |
$99K |
| 99199 |
Unlisted special service, procedure or report |
32 |
32 |
$6K |