Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › MOUNT VERNON › THE WARTBURG RESIDENTIAL COMMUNITY, INC.

THE WARTBURG RESIDENTIAL COMMUNITY, INC.

NPI: 1518019827 · MOUNT VERNON, NY 10552 · Home Health Agency · NPI assigned 01/17/2007

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.

$5.02M
Total Medicaid Paid
30,133
Total Claims
1,338
Beneficiaries
2
Codes Billed
2018-01
First Month
2023-06
Last Month

Provider Details

Authorized OfficialGENTNER, DAVID (CEO/PRESIDENT)
NPI Enumeration Date01/17/2007

Related Entities

Other providers sharing the same authorized official: GENTNER, DAVID

ProviderCityStateTotal Paid
THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH MOUNT VERNON NY $112K
THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH, INC. MOUNT VERNON NY $98K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,536 $321K
2019 8,852 $1.39M
2020 7,461 $1.26M
2021 5,615 $1.01M
2022 4,016 $731K
2023 1,653 $319K

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) 30,078 1,284 $5.02M
T1030 Nursing care, in the home, by registered nurse, per diem 55 54 $4K