APLUSCARE, LLC
NPI: 1316327315
· EAST BRUNSWICK, NJ 08816
· Community/Behavioral Health Agency
· NPI assigned 06/04/2015
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code H2016 with only 3 total codes billed. Highly concentrated billing profile.
$54.72M
Total Medicaid Paid
Provider Details
| Authorized Official | SHITU, LUQ (CEO) |
| NPI Enumeration Date | 06/04/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,713 |
$2.19M |
| 2019 |
2,062 |
$4.81M |
| 2020 |
1,488 |
$6.15M |
| 2021 |
1,524 |
$7.48M |
| 2022 |
1,634 |
$9.25M |
| 2023 |
1,915 |
$11.18M |
| 2024 |
2,477 |
$13.65M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2016 |
Comprehensive community support services, per diem |
11,975 |
3,272 |
$53.38M |
| T2021 |
Day habilitation, waiver; per 15 minutes |
739 |
360 |
$1.32M |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
99 |
49 |
$18K |