Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NJ › Hamilton › NPI 1316068117
Agency

Carnegie Healthcare Corporation

Carnegie Healthcare Corporation was paid $19.16M by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 57% of everything it billed.

33Billing provider infoCARNEGIE HEALTHCARE CORPORATION
HAMILTON, NJ 08619
33aNPI1316068117assigned 04/02/2007
33bProvider typeCase Management Agency
28Total paid$19.16M
24GClaims130,633
24DCodes billed4
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Case Management Agency providers in New Jersey

Rank by total paid#22 of 161
Median peer was paid$2.07M
This provider vs. median9.3×

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.

Entity ProliferationAuthorized official PATEL, VIPUL controls 16+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
20188,764$530K
201911,263$795K
202017,897$1.48M
202129,640$3.79M
202232,494$5.02M
202320,740$4.53M
2024incomplete9,835$3.01M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1019 Help at home with bathing, dressing and eating, billed per 15 minutesPersonal 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) 57% 111,625 6,328 $10.93M
T1003 Lpn/lvn services, up to 15 minutes 42% 18,003 954 $7.97M
T1002 Rn services, up to 15 minutes 1.3% 535 37 $257K
T1001 Nursing assessment / evaluation <1% 470 456 $9K

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 officialPATEL, VIPUL (CFO)
Parent organizationCARNEGIE HEALTHCARE CORPORATION
Same official

Other billing entities under PATEL, VIPUL

Full network →
ProviderLocationPaid
Hope in Home Care LLCNewport News, VA$63.44M
Hope In-Home Care LLCNewport News, VA$10.21M
New York Hand Surgery P.C.Brooklyn, NY$2.49M
Hope in Home Care LLCNewport News, VA$2.20M
American Oncology Partners of Maryland, PAFort Myers, FL$1.18M
Bullitt County Foot and Ankle CenterShepherdsville, KY$409K
Foot and Ankle Pain Clinic CorporationWhiting, IN$241K
Vipul M. Patel, Md.,PaPasadena, TX$193K
New York Hand Surgery of Queens PCWoodside, NY$153K
Vipul Patel MD, P.CBrooklyn, NY$52K
American Oncology Partners, P.A.Las Vegas, NV$38K
River City Medical Associates INCJacksonville, FL$18K
Vedic Pharmacy LLCDurham, NC$18K
Del Mar Pharmacy SCMilwaukee, WI$8K
Kaashi LLCFramingham, MA$0.00
Beddingfield Drugs LLCClayton, NC$0.00

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