OPEN DOOR NY HOME CARE SERVICE
NPI: 1487031092
· STATEN ISLAND, NY 10304
· Home Health Agency
· NPI assigned 05/04/2015
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
97% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$159.75M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: CHERKALIN, BORIS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
78,058 |
$10.16M |
| 2019 |
100,205 |
$13.82M |
| 2020 |
124,904 |
$16.55M |
| 2021 |
150,403 |
$19.42M |
| 2022 |
198,998 |
$26.45M |
| 2023 |
243,318 |
$35.40M |
| 2024 |
267,075 |
$37.95M |
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) |
1,148,831 |
46,345 |
$154.77M |
| 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) |
12,559 |
529 |
$4.69M |
| T1022 |
Contracted home health agency services, all services provided under contract, per day |
1,571 |
1,568 |
$283K |