ELDERCHOICE INC.
NPI: 1902165194
· ELBRIDGE, NY 13060
· Adult Day Care Clinic/Center
· NPI assigned 05/09/2012
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$2.51M
Total Medicaid Paid
Provider Details
| Authorized Official | HARRIS, AARON (VICE PRESIDENT) |
| NPI Enumeration Date | 05/09/2012 |
Related Entities
Other providers sharing the same authorized official: HARRIS, AARON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,984 |
$317K |
| 2019 |
4,055 |
$410K |
| 2020 |
2,080 |
$236K |
| 2021 |
2,082 |
$258K |
| 2022 |
2,719 |
$357K |
| 2023 |
3,195 |
$461K |
| 2024 |
2,680 |
$470K |
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) |
20,324 |
1,414 |
$2.46M |
| T1020 |
Personal care services, per diem, 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) |
471 |
25 |
$46K |