Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

AVITA HOME CARE LLC

NPI: 1053961664 · TOMS RIVER, NJ 08757 · Home Health Registered Nurse · NPI assigned 09/16/2019

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.

$3.38M
Total Medicaid Paid
27,512
Total Claims
1,696
Beneficiaries
1
Codes Billed
2020-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPISTORIUS, ELENA (MEMBER)
NPI Enumeration Date09/16/2019

Related Entities

Other providers sharing the same authorized official: PISTORIUS, ELENA

ProviderCityStateTotal Paid
A BETTER HOME CARE LLC EGG HARBOR TOWNSHIP NJ $13.44M
AB HOME CARE LLC VINELAND NJ $6.02M
A BETTER HOME CARE LLC BRICK NJ $537K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 2,831 $302K
2021 6,195 $695K
2022 6,648 $809K
2023 7,012 $938K
2024 4,826 $637K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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) 27,512 1,696 $3.38M