PROGRESSIVE HOME CARE, INC.
NPI: 1508025776
· NEWARK, NJ 07102
· Home Health Agency
· NPI assigned 06/03/2008
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.
$15.57M
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, DANNY (DIR OF OPERATIONS) |
| NPI Enumeration Date | 06/03/2008 |
Related Entities
Other providers sharing the same authorized official: SMITH, DANNY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
33,039 |
$1.94M |
| 2019 |
29,518 |
$1.95M |
| 2020 |
24,687 |
$2.03M |
| 2021 |
22,986 |
$2.08M |
| 2022 |
24,081 |
$2.44M |
| 2023 |
27,437 |
$2.69M |
| 2024 |
22,267 |
$2.45M |
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) |
183,423 |
10,954 |
$15.56M |
| T1001 |
Nursing assessment / evaluation |
592 |
588 |
$10K |