PRESTIGE LHCSA MANAGEMENT, INC
NPI: 1609259795
· BRONX, NY 10451
· Home Health Agency
· NPI assigned 07/07/2015
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$5.60M
Total Medicaid Paid
Provider Details
| Authorized Official | SCHEINER, KAYLA (SERVICE CENTER MANAGER) |
| NPI Enumeration Date | 07/07/2015 |
Related Entities
Other providers sharing the same authorized official: SCHEINER, KAYLA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
248 |
$25K |
| 2019 |
4,059 |
$517K |
| 2020 |
6,773 |
$846K |
| 2021 |
5,989 |
$757K |
| 2022 |
6,071 |
$862K |
| 2023 |
5,512 |
$1.07M |
| 2024 |
8,140 |
$1.53M |
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) |
36,584 |
1,782 |
$5.56M |
| T1022 |
Contracted home health agency services, all services provided under contract, per day |
208 |
166 |
$37K |