Medicaid Provider Spending

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

EXPRESS ENTERPRISE

NPI: 1114493277 · EAST ORANGE, NJ 07018 · In Home Supportive Care Agency · NPI assigned 10/16/2018

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.

$4.62M
Total Medicaid Paid
43,900
Total Claims
1,935
Beneficiaries
1
Codes Billed
2020-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPIERRE, WILKENSCOL (CO-OWNER)
NPI Enumeration Date10/16/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,630 $146K
2021 5,136 $497K
2022 8,642 $990K
2023 13,975 $1.50M
2024 14,517 $1.49M

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) 43,900 1,935 $4.62M