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

Professional Care Home Care Agency, INC.

Professional Care Home Care Agency, INC. was paid $1.80M by Medicaid between Mar 2020 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 infoPROFESSIONAL CARE HOME CARE AGENCY, INC.
FORT LEE, NJ 07024
33aNPI1083105175assigned 05/23/2018
33bProvider typeHome Health Agency
28Total paid$1.80M
24GClaims15,779
24DCodes billed1
24AFirst – last monthMar 2020 – Nov 2024
Compared with peers

Next to other Home Health Agency providers in New Jersey

Rank by total paid#191 of 343
Median peer was paid$2.32M
This provider vs. median0.8×

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$200K2018201920202021202220232024
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
2020155$16K
20235,201$580K
2024incomplete10,423$1.21M
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% 15,779 872 $1.80M

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 officialKRIVOSHEYEV, NELLIE (PRESIDENT)