Medicaid Provider Spending

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

GENTLE HEART CARE, LLC

NPI: 1265560247 · ENGLEWOOD CLIFFS, NJ 07632 · Home Health Agency · NPI assigned 03/01/2007

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.

$15.84M
Total Medicaid Paid
109,716
Total Claims
10,138
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSONG, JAE (PRESIDENT)
NPI Enumeration Date03/01/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,988 $1.46M
2019 13,234 $1.98M
2020 12,106 $1.93M
2021 12,802 $2.20M
2022 19,259 $2.58M
2023 19,943 $2.98M
2024 17,384 $2.69M

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) 108,480 9,057 $15.79M
T1001 Nursing assessment / evaluation 1,236 1,081 $41K