Medicaid Provider Spending

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

MARK R LLC

NPI: 1225547060 · JACKSON HEIGHTS, NY 11372 · Adult Care Home Facility · NPI assigned 09/25/2017

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

$47.65M
Total Medicaid Paid
361,869
Total Claims
15,978
Beneficiaries
2
Codes Billed
2018-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialREYES, MARCIO (OWNER/PRESIDENT)
NPI Enumeration Date09/25/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,987 $225K
2019 19,579 $2.14M
2020 41,115 $4.44M
2021 56,258 $6.59M
2022 70,808 $9.28M
2023 84,308 $12.14M
2024 87,814 $12.83M

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) 361,520 15,629 $47.59M
T1022 Contracted home health agency services, all services provided under contract, per day 349 349 $64K