Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HDA NY LLC

NPI: 1750802401 · BROOKLYN, NY 11206 · Home Health Agency · NPI assigned 07/03/2017

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.

$113.29M
Total Medicaid Paid
501,020
Total Claims
21,300
Beneficiaries
2
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialZUPNICK, JOEL (PRESIDENT)
NPI Enumeration Date07/03/2017

Related Entities

Other providers sharing the same authorized official: ZUPNICK, JOEL

ProviderCityStateTotal Paid
PELLA CARE BROOKLYN NY $111.04M
SPECIALTY RX HOME MEDS INC SYOSSET NY $203K
SPECIALTY RX INC RIDGEFIELD PARK NJ $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 53,766 $12.22M
2020 96,410 $21.85M
2021 85,659 $19.20M
2022 82,083 $18.23M
2023 92,152 $21.48M
2024 90,950 $20.32M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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) 467,856 20,048 $102.76M
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) 33,164 1,252 $10.53M