SIMPLY THE BEST HOME CARE, LLC
NPI: 1548563158
· JOHNSTOWN, NY 12095
· Home Health Agency
· NPI assigned 12/21/2010
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$6.86M
Total Medicaid Paid
Provider Details
| Authorized Official | LOBDELL, RACHAEL (ADMINISTRATOR) |
| NPI Enumeration Date | 12/21/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
59,056 |
$6.86M |
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) |
57,927 |
3,563 |
$6.69M |
| 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) |
1,129 |
78 |
$171K |