Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Cla Enterprises LLC

Cla Enterprises LLC was paid $1.22M by Medicaid between Mar 2024 and Nov 2024, across 1 billing code. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 100% of everything it billed.

33Billing provider infoCLA ENTERPRISES LLC
JERSEY CITY, NJ 07306
33aNPI1023678232assigned 06/19/2019
33bProvider typeHome Health Agency
28Total paid$1.22M
24GClaims16,743
24DCodes billed1
24AFirst – last monthMar 2024 – Nov 2024
Compared with peers

Next to other Home Health Agency providers in New Jersey

Rank by total paid#201 of 343
Median peer was paid$2.32M
This provider vs. median0.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2024incomplete16,743$1.22M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1019 Help at home with bathing, dressing and eating, billed per 15 minutesPersonal 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) 100% 16,743 684 $1.22M

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialPATEL, NIMISHA (PRESIDENT)
Same official

Other billing entities under PATEL, NIMISHA

Full network →
ProviderLocationPaid
Family Eyecare Experts INCHouston, TX$91K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.