Medicaid Provider Spending

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

T.C. NY HOMECARE, LLC

NPI: 1790274181 · BRONX, NY 10453 · Home Health Agency · NPI assigned 05/01/2018

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

99% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

$43.96M
Total Medicaid Paid
256,900
Total Claims
15,002
Beneficiaries
2
Codes Billed
2020-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMERCADO, HAROLD (CHIEF OPERATIONS OFFICER)
NPI Enumeration Date05/01/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 13,313 $1.72M
2021 31,467 $4.81M
2022 52,988 $8.84M
2023 74,270 $13.29M
2024 84,862 $15.30M

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) 255,289 13,391 $43.66M
T1022 Contracted home health agency services, all services provided under contract, per day 1,611 1,611 $302K