Medicaid Provider Spending

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

INDEPENDENT LIVING CENTER OF THE HUDSON VALLEY, INC.

NPI: 1447504550 · TROY, NY 12180 · Voluntary or Charitable Agency · NPI assigned 10/29/2012

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

$10.19M
Total Medicaid Paid
83,164
Total Claims
4,319
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialFIGUEROA, DENISE (EXECUTIVE DIRECTOR)
NPI Enumeration Date10/29/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,507 $1.01M
2019 10,415 $1.19M
2020 14,585 $1.57M
2021 15,315 $1.81M
2022 14,767 $1.81M
2023 9,065 $1.41M
2024 8,510 $1.39M

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) 83,126 4,281 $10.18M
99199 Unlisted special service, procedure or report 38 38 $12K