ALLCARE FAMILY SERVICES, INC.
NPI: 1922292176
· BUFFALO, NY 14202
· Home Health Agency
· NPI assigned 08/30/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.
$3.43M
Total Medicaid Paid
Provider Details
| Authorized Official | MACY, LAURA (PRESIDENT ADMINISTRATOR) |
| NPI Enumeration Date | 08/30/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,794 |
$488K |
| 2019 |
4,562 |
$603K |
| 2020 |
3,135 |
$396K |
| 2021 |
186 |
$29K |
| 2023 |
4,043 |
$360K |
| 2024 |
20,668 |
$1.55M |
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) |
36,113 |
1,506 |
$3.40M |
| 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) |
275 |
12 |
$32K |