BOULEVARD ALP LHSCA OPERATIONS
NPI: 1710427323
· FRESH MEADOWS, NY 11365
· Home Health Agency
· NPI assigned 03/01/2017
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$96.02M
Total Medicaid Paid
Provider Details
| Authorized Official | MARX, MICHAEL (ADMIN) |
| NPI Enumeration Date | 03/01/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
17,003 |
$2.01M |
| 2019 |
43,501 |
$5.42M |
| 2020 |
73,377 |
$9.04M |
| 2021 |
102,790 |
$12.68M |
| 2022 |
122,766 |
$16.52M |
| 2023 |
157,407 |
$23.00M |
| 2024 |
184,383 |
$27.35M |
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) |
699,981 |
30,428 |
$95.75M |
| T1022 |
Contracted home health agency services, all services provided under contract, per day |
868 |
857 |
$174K |
| 99199 |
Unlisted special service, procedure or report |
378 |
378 |
$91K |