Medicaid Provider Spending

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

AUTHENTIC CARE

NPI: 1154055879 · WEST NEW YORK, NJ 07093 · Nursing Care Agency · NPI assigned 07/11/2022

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.

$1.41M
Total Medicaid Paid
11,419
Total Claims
626
Beneficiaries
1
Codes Billed
2023-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCUBA PACHECO, YOEL (OWNER)
NPI Enumeration Date07/11/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 1,446 $175K
2024 9,973 $1.24M

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) 11,419 626 $1.41M