ENS HEALTH CARE MANAGEMENT LLC
NPI: 1972560365
· ALBANY, NY 12205
· Home Health Agency
· NPI assigned 04/28/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.
$1.60M
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, SUZANNE (CO-PRESIDENT) |
| NPI Enumeration Date | 04/28/2006 |
Related Entities
Other providers sharing the same authorized official: SMITH, SUZANNE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,406 |
$300K |
| 2019 |
3,101 |
$692K |
| 2020 |
2,754 |
$611K |
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) |
7,261 |
457 |
$1.60M |