Medicaid Provider Spending

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

NEW ERA COMMUNITY HEALTH CENTER LLC

NPI: 1396283867 · HOMESTEAD, FL 33030 · Mental Health Counselor · NPI assigned 02/06/2017

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

91% of spending on code T2030 with only 2 total codes billed. Highly concentrated billing profile.

$3.11M
Total Medicaid Paid
3,640
Total Claims
2,709
Beneficiaries
2
Codes Billed
2018-02
First Month
2023-11
Last Month

Provider Details

Authorized OfficialMUSA, JORGE (PRESIDENT)
NPI Enumeration Date02/06/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 164 $25K
2019 1,037 $158K
2020 594 $98K
2021 248 $311K
2022 897 $1.38M
2023 700 $1.14M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2030 Assisted living, waiver; per month 1,770 1,749 $2.82M
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) 1,870 960 $294K