Medicaid Provider Spending

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

PRIME HEALTH CARE LLC.

NPI: 1275783383 · JERSEY CITY, NJ 07305 · Home Health Agency · NPI assigned 09/25/2008

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.

$12.80M
Total Medicaid Paid
132,929
Total Claims
7,184
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialLLANES, ENRICO (PARTNER)
NPI Enumeration Date09/25/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 18,442 $1.12M
2019 19,854 $1.41M
2020 18,003 $1.53M
2021 19,249 $1.96M
2022 19,887 $2.06M
2023 20,288 $2.44M
2024 17,206 $2.27M

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) 132,750 7,005 $12.79M
T1001 Nursing assessment / evaluation 179 179 $4K