Medicaid Provider Spending

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

SERENITY CARE AGENCY , LLC

NPI: 1205314200 · RIDGEWOOD, NY 11385 · Home Health Agency · NPI assigned 08/01/2018

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.

$4.72M
Total Medicaid Paid
35,097
Total Claims
1,929
Beneficiaries
1
Codes Billed
2021-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPHAM, SONNY (PRESIDENT)
NPI Enumeration Date08/01/2018

Related Entities

Other providers sharing the same authorized official: PHAM, SONNY

ProviderCityStateTotal Paid
SERENITY HEALTH & WELLNESS LLC FRESH MEADOWS NY $31.56M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 1,614 $190K
2022 6,202 $735K
2023 12,119 $1.67M
2024 15,162 $2.12M

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) 35,097 1,929 $4.72M