Medicaid Provider Spending

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

ACS HOME CARE LLC

NPI: 1326321522 · NORTHPORT, NY 11768 · Home Health Agency · NPI assigned 09/23/2011

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

96% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

$44.32M
Total Medicaid Paid
304,392
Total Claims
14,640
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMACEDONIO, ROBERT (DIRECTOR PATIENT CARE SERVICES)
NPI Enumeration Date09/23/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14,390 $1.63M
2019 33,627 $4.69M
2020 42,652 $6.31M
2021 51,042 $6.92M
2022 54,063 $8.21M
2023 53,398 $8.23M
2024 55,220 $8.34M

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) 297,643 14,357 $42.54M
T1020 Personal care services, per diem, 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) 6,749 283 $1.78M