HOMEFIRST LHCSA INC DBA METROPOLITAN JEWISH LIC. HOME CARE SERV. AGEN

NPI: 1710148549 · BROOKLYN, NY 11220 · Home Health Agency · NPI assigned 06/24/2008

Billing Flags · Automated signals — not evidence of fraud

Single-Code Concentration

91% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

$6.83M

Total Medicaid Paid

55,913

Total Claims

2,634

Beneficiaries

Codes Billed

2018-01

First Month

2019-12

Last Month

Provider Details

Authorized Official	BALKO, ALEXANDER (SR.VP/CFO)
NPI Enumeration Date	06/24/2008

Other providers sharing the same authorized official: BALKO, ALEXANDER

Provider	City	State	Total Paid
METROPOLITAN JEWISH HOME CARE INC.	NEW YORK	NY	$8.73M
MJHS HOSPICE AND PALLIATIVE CARE INC.	NEW YORK	NY	$7.99M

Year	Claims	Total Paid
2018	23,512	$2.63M
2019	32,401	$4.20M

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)	50,366	2,350	$6.22M
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)	5,547	284	$608K