PLATINUM HOME HEALTH CARE INC. CDPAP
NPI: 1942759907
· BROOKLYN, NY 11220
· Home Health Agency
· NPI assigned 09/30/2016
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.
$36.05M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
10,170 |
$1.36M |
| 2020 |
24,351 |
$3.12M |
| 2021 |
39,369 |
$5.00M |
| 2022 |
44,158 |
$6.43M |
| 2023 |
57,600 |
$9.07M |
| 2024 |
72,276 |
$11.06M |
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) |
247,026 |
12,101 |
$35.89M |
| T1022 |
Contracted home health agency services, all services provided under contract, per day |
898 |
898 |
$162K |