Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Nursing facility

Prime Care One, LLC

Prime Care One, LLC was paid $1.20M by Medicaid between Apr 2018 and Aug 2024, across 1 billing code. Its largest line is T2031, Assisted living; waiver, per diem — 100% of everything it billed.

33Billing provider infoPRIME CARE ONE, LLC
MIDDLETOWN, NJ 07748
33aNPI1265586549assigned 01/23/2007
33bProvider typeAssisted Living Facility
28Total paid$1.20M
24GClaims891
24DCodes billed1
24AFirst – last monthApr 2018 – Aug 2024
Compared with peers

Next to other Assisted Living Facility providers in New Jersey

Rank by total paid#68 of 167
Median peer was paid$954K
This provider vs. median1.3×

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 T2031 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2018110$166K
2019181$278K
202078$105K
202140$54K
2022162$201K
2023188$243K
2024incomplete132$158K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2031 Assisted living; waiver, per diem 100% 891 798 $1.20M

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 officialHARRIS, TONY (SENIOR REIMBURSEMENT MANAGER)
Same official

Other billing entities under HARRIS, TONY

Full network →
ProviderLocationPaid
Al I/East Brunswick Senior Housing, L.L.C.East Brunswick, NJ$727K
Prime Care One, LLCMountainside, NJ$710K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.