SUNSHINE HOMECARE SERVICES CORPORATION
NPI: 1962673053
· NEW CITY, NY 10956
· Home Health Agency
· NPI assigned 03/17/2008
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.
$7.67M
Total Medicaid Paid
Provider Details
| Authorized Official | CLEMENT, FRANCIS (PRESIDENT) |
| NPI Enumeration Date | 03/17/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,415 |
$1.45M |
| 2019 |
11,354 |
$1.96M |
| 2020 |
12,525 |
$1.81M |
| 2021 |
8,965 |
$1.32M |
| 2022 |
4,958 |
$822K |
| 2023 |
1,691 |
$307K |
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) |
47,135 |
2,262 |
$7.53M |
| 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) |
773 |
41 |
$132K |