ABOVE AND BEYOND HOME CARE SERVICE INC
NPI: 1790018349
· CLIFTON, NJ 07011
· Home Health Agency
· NPI assigned 09/15/2009
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.
$37.76M
Total Medicaid Paid
Provider Details
| Authorized Official | DIAZ, WILDA (PRESIDENT) |
| NPI Enumeration Date | 09/15/2009 |
Related Entities
Other providers sharing the same authorized official: DIAZ, WILDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
52,460 |
$2.90M |
| 2019 |
67,808 |
$4.48M |
| 2020 |
47,635 |
$3.54M |
| 2021 |
52,186 |
$4.74M |
| 2022 |
71,533 |
$7.60M |
| 2023 |
66,668 |
$7.48M |
| 2024 |
57,133 |
$7.01M |
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) |
414,683 |
21,013 |
$37.75M |
| T1001 |
Nursing assessment / evaluation |
740 |
736 |
$15K |