Agency
Authentic Care
Authentic Care was paid $1.41M by Medicaid between Sep 2023 and Dec 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 infoAUTHENTIC CARE
WEST NEW YORK, NJ 07093
WEST NEW YORK, NJ 07093
33aNPI1154055879assigned 07/11/2022
33bProvider typeNursing Care Agency
28Total paid$1.41M
24GClaims11,419
24DCodes billed1
24AFirst – last monthSep 2023 – Dec 2024
Compared with peers
Next to other Nursing Care Agency providers in New Jersey
Rank by total paid#11 of 18
Median peer was paid$1.72M
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 1,446 | $175K | |
| 2024incomplete | 9,973 | $1.24M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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% | 11,419 | 626 | $1.41M |
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 officialCUBA PACHECO, YOEL (OWNER)