MAINE-LY ELDER CARE, INC.
NPI: 1720212335
· OAKLAND, ME 04963
· Nursing Care Agency
· NPI assigned 05/11/2009
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$3.97M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,718 |
$427K |
| 2019 |
1,615 |
$378K |
| 2020 |
2,817 |
$692K |
| 2021 |
1,924 |
$475K |
| 2022 |
1,400 |
$589K |
| 2023 |
1,505 |
$617K |
| 2024 |
1,470 |
$794K |
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) |
11,076 |
2,070 |
$3.91M |
| G0299 |
Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes |
1,373 |
476 |
$61K |