NORTHEASTERN PROFESSIONAL NURSES REGISTRY INC
NPI: 1972717270
· EAST ORANGE, NJ 07018
· Home Health Agency
· NPI assigned 05/09/2007
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.
$12.33M
Total Medicaid Paid
Provider Details
| Authorized Official | HALL, CARLOTTA (OWNER) |
| NPI Enumeration Date | 05/09/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
22,043 |
$2.03M |
| 2019 |
15,588 |
$1.67M |
| 2020 |
15,387 |
$1.91M |
| 2021 |
16,688 |
$1.68M |
| 2022 |
21,063 |
$1.60M |
| 2023 |
17,775 |
$1.63M |
| 2024 |
18,511 |
$1.82M |
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) |
126,953 |
8,560 |
$12.33M |
| T1001 |
Nursing assessment / evaluation |
102 |
67 |
$3K |