POMONOK HOME SERVICES, INC.
NPI: 1528128147
· FRESH MEADOWS, NY 11365
· Home Health Agency
· NPI assigned 12/12/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
90% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$30.77M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
17,491 |
$3.39M |
| 2019 |
25,257 |
$5.49M |
| 2020 |
30,061 |
$7.23M |
| 2021 |
19,808 |
$4.41M |
| 2022 |
12,948 |
$3.21M |
| 2023 |
11,791 |
$3.37M |
| 2024 |
11,530 |
$3.66M |
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) |
118,295 |
4,750 |
$27.74M |
| T1020 |
Personal care services, per diem, 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) |
10,591 |
393 |
$3.03M |