EXTENDED HOLDING COMPANY, LLC
NPI: 1497261127
· NEW YORK, NY 10001
· Home Health Agency
· NPI assigned 12/18/2017
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
94% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$14.80M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
18,613 |
$2.62M |
| 2019 |
51,534 |
$8.17M |
| 2020 |
22,297 |
$4.02M |
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) |
88,930 |
4,271 |
$13.89M |
| S5125 |
Attendant care services; per 15 minutes |
3,486 |
341 |
$905K |
| T1028 |
Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs |
28 |
27 |
$8K |