Medicaid Provider Spending

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

A&B ENTERPRISE OF LI

NPI: 1265582050 · WANTAGH, NY 11793 · Home Health Agency · NPI assigned 01/12/2007

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.

$1.54M
Total Medicaid Paid
7,940
Total Claims
346
Beneficiaries
1
Codes Billed
2021-06
First Month
2022-12
Last Month

Provider Details

Authorized OfficialCAMPBELL, JOHN (PRESIDENT)
NPI Enumeration Date01/12/2007

Related Entities

Other providers sharing the same authorized official: CAMPBELL, JOHN

ProviderCityStateTotal Paid
JOHN N CAMPBELL MD PC KENTWOOD MI $7.85M
UB ORAL & MAXILLOFACIAL SURGERY, INC BUFFALO NY $840K
JOHN N CAMPBELL MD PC GREENVILLE MI $169K
JEMS HEALTHCARE LLC GRAND FORKS ND $115K
JOHN N CAMPBELL MD PC BIG RAPIDS MI $96K
PACIFIC PATHOLOGY, INC. SAN DIEGO CA $817.16
CORE OUTPATIENT SERVICES, LLC SOUTH AMBOY NJ $419.02
PACIFIC PATHOLOGY, INC. SAN DIEGO CA $349.80

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 2,998 $490K
2022 4,942 $1.05M

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) 7,940 346 $1.54M