HOLY MOBA LLC
NPI: 1194345025
· ROSELLE, NJ 07203
· In Home Supportive Care Agency
· NPI assigned 04/21/2020
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
91% of spending on code H2021 with only 2 total codes billed. Highly concentrated billing profile.
$3.27M
Total Medicaid Paid
Provider Details
| Authorized Official | GBORSON, MERCY (MANAGING MEMBER) |
| NPI Enumeration Date | 04/21/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
694 |
$499K |
| 2023 |
772 |
$1.43M |
| 2024 |
273 |
$1.35M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2021 |
Community-based wrap-around services, per 15 minutes |
1,667 |
668 |
$2.98M |
| H2016 |
Comprehensive community support services, per diem |
72 |
40 |
$291K |