PRIME CARE ONE, LLC
NPI: 1265586549
· MIDDLETOWN, NJ 07748
· Assisted Living Facility
· NPI assigned 01/23/2007
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T2031 with only 1 total codes billed. Highly concentrated billing profile.
$1.20M
Total Medicaid Paid
Provider Details
| Authorized Official | HARRIS, TONY (SENIOR REIMBURSEMENT MANAGER) |
| NPI Enumeration Date | 01/23/2007 |
Related Entities
Other providers sharing the same authorized official: HARRIS, TONY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
110 |
$166K |
| 2019 |
181 |
$278K |
| 2020 |
78 |
$105K |
| 2021 |
40 |
$54K |
| 2022 |
162 |
$201K |
| 2023 |
188 |
$243K |
| 2024 |
132 |
$158K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T2031 |
Assisted living; waiver, per diem |
891 |
798 |
$1.20M |