Agency
Alternative Care Essentials, LLC
Alternative Care Essentials, LLC was paid $4.71M by Medicaid between Jan 2018 and Nov 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 infoALTERNATIVE CARE ESSENTIALS, LLC
MONTCLAIR, NJ 07042
MONTCLAIR, NJ 07042
33aNPI1225467772assigned 11/05/2013
33bProvider typeHome Health Agency
28Total paid$4.71M
24GClaims46,572
24DCodes billed1
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Home Health Agency providers in New Jersey
Rank by total paid#136 of 343
Median peer was paid$2.32M
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2018 | 9,211 | $714K | |
| 2019 | 7,908 | $698K | |
| 2020 | 7,146 | $671K | |
| 2021 | 6,682 | $731K | |
| 2022 | 6,552 | $755K | |
| 2023 | 5,971 | $752K | |
| 2024incomplete | 3,102 | $392K |
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% | 46,572 | 2,354 | $4.71M |
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 officialWILLAMS, TRACEY (MANAGER)