DIRECT HEALTHSOURCE, INC
NPI: 1750732236
· OZONE PARK, NY 11416
· Home Health Agency
· NPI assigned 06/27/2016
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$61.68M
Total Medicaid Paid
Provider Details
| Authorized Official | HASHIM, ABDUL (DIRECTOR/CFO) |
| NPI Enumeration Date | 06/27/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
18,199 |
$2.08M |
| 2019 |
28,533 |
$3.83M |
| 2020 |
38,920 |
$5.25M |
| 2021 |
48,789 |
$7.19M |
| 2022 |
66,139 |
$10.73M |
| 2023 |
90,942 |
$15.59M |
| 2024 |
101,844 |
$17.02M |
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) |
391,972 |
17,527 |
$61.40M |
| T1022 |
Contracted home health agency services, all services provided under contract, per day |
1,394 |
1,394 |
$278K |