Medicaid Provider Spending

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

BRIGHT HORIZON PRIME CARE INC

NPI: 1902203706 · FLUSHING, NY 11355 · Home Health Agency · NPI assigned 11/24/2014

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

100% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

$33.28M
Total Medicaid Paid
277,290
Total Claims
17,994
Beneficiaries
2
Codes Billed
2021-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFENG, QISHENG (ADMIN)
NPI Enumeration Date11/24/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 14,146 $1.57M
2022 60,528 $6.96M
2023 96,387 $11.73M
2024 106,229 $13.02M

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) 277,090 17,794 $33.26M
T1030 Nursing care, in the home, by registered nurse, per diem 200 200 $20K