ELITE CARE MANAGMENT LLC
NPI: 1013265610
· SOUTH PLAINFIELD, NJ 07080
· Home Health Agency
· NPI assigned 08/29/2012
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.
$22.91M
Total Medicaid Paid
Provider Details
| Authorized Official | CHEN, YUEH-KUEI (DIRECTOR OF NURSING) |
| NPI Enumeration Date | 08/29/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
53,747 |
$2.12M |
| 2019 |
47,004 |
$2.25M |
| 2020 |
46,434 |
$2.80M |
| 2021 |
32,785 |
$3.31M |
| 2022 |
36,061 |
$3.95M |
| 2023 |
39,628 |
$4.35M |
| 2024 |
36,526 |
$4.13M |
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) |
292,185 |
16,366 |
$22.91M |