CARING SHEPHERD HHC AGENCY, LLC
NPI: 1770026130
· ELMONT, NY 11003
· Home Health Agency
· NPI assigned 12/02/2016
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.
$8.53M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,859 |
$570K |
| 2019 |
6,746 |
$879K |
| 2020 |
8,649 |
$1.12M |
| 2021 |
7,739 |
$1.23M |
| 2022 |
8,807 |
$1.49M |
| 2023 |
11,094 |
$1.63M |
| 2024 |
10,914 |
$1.61M |
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) |
58,808 |
2,642 |
$8.53M |