ALTERNATIVE CARE ESSENTIALS, LLC
NPI: 1225467772
· MONTCLAIR, NJ 07042
· Home Health Agency
· NPI assigned 11/05/2013
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.
$4.71M
Total Medicaid Paid
Provider Details
| Authorized Official | WILLAMS, TRACEY (MANAGER) |
| NPI Enumeration Date | 11/05/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
3,102 |
$392K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total 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) |
46,572 |
2,354 |
$4.71M |