Medicaid Provider Spending

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

TOWER HOME CARE INC.

NPI: 1487183570 · BROOKLYN, NY 11204 · Personal Care Attendant · NPI assigned 06/12/2017

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.

$27.53M
Total Medicaid Paid
179,552
Total Claims
9,208
Beneficiaries
2
Codes Billed
2018-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBERGSTEIN, YSHAYE (EXECUTIVE)
NPI Enumeration Date06/12/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,238 $464K
2019 10,229 $1.38M
2020 16,673 $2.24M
2021 21,374 $3.25M
2022 30,820 $5.06M
2023 46,339 $7.23M
2024 49,879 $7.89M

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) 178,888 8,545 $27.41M
T1022 Contracted home health agency services, all services provided under contract, per day 664 663 $125K