Medicaid Provider Spending

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

MID-HUDSON MANAGED HOME CARE, INC.

NPI: 1922120104 · NEWBURGH, NY 12550 · Home Health Agency · NPI assigned 04/06/2007

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

100% of spending on code T1020 with only 1 total codes billed. Highly concentrated billing profile.

$10.80M
Total Medicaid Paid
40,726
Total Claims
1,438
Beneficiaries
1
Codes Billed
2018-01
First Month
2022-09
Last Month

Provider Details

Authorized OfficialSYLCOX, JEANNINE (ADMINISTRATOR)
NPI Enumeration Date04/06/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,443 $2.06M
2019 10,252 $2.63M
2020 10,180 $2.62M
2021 7,245 $2.02M
2022 4,606 $1.46M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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) 40,726 1,438 $10.80M