CONCERN HOME CARE, INC.
NPI: 1700075173
· JAMAICA, NY 11435
· Home Health Agency
· NPI assigned 10/22/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
95% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$8.55M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,546 |
$260K |
| 2019 |
4,947 |
$939K |
| 2020 |
6,812 |
$1.59M |
| 2021 |
8,882 |
$1.36M |
| 2022 |
7,483 |
$1.61M |
| 2023 |
7,753 |
$1.41M |
| 2024 |
7,659 |
$1.38M |
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) |
44,099 |
1,777 |
$8.13M |
| 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) |
983 |
37 |
$415K |