EMERALD MEDICAL STAFFING, LLC
NPI: 1871891143
· CLEVELAND, OH 44144
· In Home Supportive Care Agency
· NPI assigned 03/10/2011
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$3.81M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,427 |
$1.18M |
| 2019 |
11,530 |
$1.04M |
| 2020 |
9,484 |
$808K |
| 2021 |
9,088 |
$581K |
| 2022 |
3,549 |
$193K |
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) |
42,822 |
3,490 |
$3.77M |
| T1001 |
Nursing assessment / evaluation |
1,196 |
1,102 |
$39K |
| T1002 |
Rn services, up to 15 minutes |
60 |
60 |
$589.36 |