Medicaid Provider Spending

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

NPI: 1437524378 · PORT MONMOUTH, NJ 07758 · Adult Day Care Clinic/Center · NPI assigned 12/03/2015

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

100% of spending on code T2021 with only 2 total codes billed. Highly concentrated billing profile.

$5.19M
Total Medicaid Paid
28,331
Total Claims
1,838
Beneficiaries
2
Codes Billed
2018-07
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDEMARCO, KATHLEEN (PRESIDENT)
NPI Enumeration Date12/03/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,965 $241K
2019 4,789 $737K
2020 1,811 $279K
2021 3,135 $542K
2022 5,139 $956K
2023 5,634 $1.13M
2024 5,858 $1.30M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2021 Day habilitation, waiver; per 15 minutes 27,805 1,802 $5.18M
A0090 Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest 526 36 $10K