MI CASA ES SU CASA II
NPI: 1225228299
· RIDGEWOOD, NJ 07450
· Adult Day Care Clinic/Center
· NPI assigned 07/26/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code S5102 with only 1 total codes billed. Highly concentrated billing profile.
$7.04M
Total Medicaid Paid
Provider Details
| Authorized Official | GINES, ANTONIO (OWNER/CEO) |
| NPI Enumeration Date | 07/26/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
23,234 |
$1.82M |
| 2019 |
19,769 |
$1.54M |
| 2020 |
14,950 |
$1.14M |
| 2021 |
14,926 |
$1.23M |
| 2022 |
12,899 |
$1.04M |
| 2023 |
3,094 |
$263K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
88,872 |
5,643 |
$7.04M |