MARY AGNES MANOR
NPI: 1487057972
· BUFFALO, NY 14201
· Assisted Living Facility (Mental Illness)
· NPI assigned 09/29/2014
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.
$1.97M
Total Medicaid Paid
Provider Details
| Authorized Official | ZYSKIND, DANNY (ASSISTANT ADMINISTRATOR) |
| NPI Enumeration Date | 09/29/2014 |
Related Entities
Other providers sharing the same authorized official: ZYSKIND, DANNY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
687 |
$0.00 |
| 2019 |
578 |
$0.00 |
| 2020 |
607 |
$0.00 |
| 2021 |
391 |
$85K |
| 2022 |
212 |
$391K |
| 2023 |
4,068 |
$675K |
| 2024 |
10,809 |
$818K |
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) |
17,352 |
3,024 |
$1.97M |