EXPERT HOME CARE
NPI: 1821575606
· BROOKLYN, NY 11235
· Home Health Agency
· NPI assigned 07/24/2018
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$59.67M
Total Medicaid Paid
Provider Details
| Authorized Official | HORN, ELAINE (OWNER) |
| NPI Enumeration Date | 07/24/2018 |
Related Entities
Other providers sharing the same authorized official: HORN, ELAINE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
5,248 |
$622K |
| 2020 |
28,266 |
$3.67M |
| 2021 |
47,063 |
$6.69M |
| 2022 |
60,502 |
$9.61M |
| 2023 |
95,929 |
$16.43M |
| 2024 |
128,495 |
$22.65M |
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) |
365,142 |
16,443 |
$59.60M |
| S5125 |
Attendant care services; per 15 minutes |
263 |
12 |
$62K |
| T1022 |
Contracted home health agency services, all services provided under contract, per day |
98 |
59 |
$7K |