WESTCHESTER CARE AT HOME
NPI: 1972515963
· WHITE PLAINS, NY 10605
· Home Health Agency
· NPI assigned 08/12/2006
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.
$11.29M
Total Medicaid Paid
Provider Details
| Authorized Official | RUEDA, HECTOR (SENIOR VP OF OPERATIONS / FINANCE) |
| NPI Enumeration Date | 08/12/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,356 |
$243K |
| 2019 |
3,504 |
$712K |
| 2020 |
10,740 |
$1.81M |
| 2021 |
14,181 |
$2.42M |
| 2022 |
11,258 |
$2.40M |
| 2023 |
9,903 |
$2.12M |
| 2024 |
6,929 |
$1.58M |
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) |
57,103 |
2,598 |
$11.13M |
| 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) |
768 |
36 |
$162K |