GM FAMILY RESOURCES INC.
NPI: 1497122790
· STATEN ISLAND, NY 10306
· Home Health Agency
· NPI assigned 08/21/2015
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.
$47.64M
Total Medicaid Paid
Provider Details
| Authorized Official | MENG, YUEMEI (PRESIDENT) |
| NPI Enumeration Date | 08/21/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,037 |
$1.17M |
| 2019 |
31,708 |
$3.98M |
| 2020 |
46,097 |
$5.50M |
| 2021 |
65,138 |
$7.66M |
| 2022 |
69,508 |
$8.82M |
| 2023 |
69,910 |
$10.48M |
| 2024 |
64,989 |
$10.04M |
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) |
357,138 |
15,527 |
$47.60M |
| T1022 |
Contracted home health agency services, all services provided under contract, per day |
249 |
196 |
$36K |