NPI: 1871635987 · QUEENS VILLAGE, NY 11428 · Home Health Agency · NPI assigned 02/13/2007
| Authorized Official | DERIVAL, KETTLY (CLINICAL DIRECTOR) |
| NPI Enumeration Date | 02/13/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 10,451 | $1.57M |
| 2019 | 8,974 | $1.48M |
| 2020 | 7,295 | $1.17M |
| 2021 | 5,381 | $986K |
| 2022 | 3,672 | $1.78M |
| 2023 | 4,214 | $2.25M |
| 2024 | 1,879 | $1.13M |
| 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) | 32,807 | 1,271 | $5.19M |
| S9124 | Nursing care, in the home; by licensed practical nurse, per hour | 9,059 | 472 | $5.18M |