LIFE CARE ADVANTAGE
NPI: 1992190151
· BROOKLYN, NY 11230
· Home Health Agency
· NPI assigned 04/03/2015
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.
$81.34M
Total Medicaid Paid
Provider Details
| Authorized Official | ZELMAN, ROSELYN (ADMINISTRATOR) |
| NPI Enumeration Date | 04/03/2015 |
Related Entities
Other providers sharing the same authorized official: ZELMAN, ROSELYN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
36,940 |
$4.53M |
| 2019 |
80,656 |
$10.41M |
| 2020 |
114,215 |
$14.74M |
| 2021 |
95,888 |
$11.98M |
| 2022 |
85,730 |
$11.75M |
| 2023 |
95,865 |
$14.53M |
| 2024 |
88,465 |
$13.41M |
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) |
596,736 |
27,825 |
$81.24M |
| T1022 |
Contracted home health agency services, all services provided under contract, per day |
967 |
855 |
$90K |
| 99199 |
Unlisted special service, procedure or report |
56 |
55 |
$10K |