SYMPATHY HOME HEALTH CARE, INC
NPI: 1639440571
· BEDFORD HEIGHTS, OH 44146
· Home Health Agency
· NPI assigned 01/24/2012
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$6.62M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12,040 |
$778K |
| 2019 |
15,088 |
$884K |
| 2020 |
18,701 |
$1.23M |
| 2021 |
19,155 |
$1.31M |
| 2022 |
13,547 |
$930K |
| 2023 |
12,290 |
$471K |
| 2024 |
8,661 |
$1.01M |
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) |
95,014 |
3,495 |
$6.45M |
| G0156 |
Services of home health/hospice aide in home health or hospice settings, each 15 minutes |
4,257 |
222 |
$157K |
| T1001 |
Nursing assessment / evaluation |
211 |
211 |
$7K |