The Royal Care Fi LLC

The Royal Care Fi LLC was paid $324.86M by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 100% of everything it billed.

33Billing provider infoTHE ROYAL CARE FI LLC
BROOKLYN, NY 11219

33aNPI1437541133assigned 03/04/2015

33bProvider typeHome Health Agency

28Total paid$324.86M

24GClaims2,328,850

24DCodes billed3

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Home Health Agency providers in New York

Rank by total paid#51 of 851

Median peer was paid$15.00M

This provider vs. median22×

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.

Single-Code Concentration100% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.

Box 24A · Dates of service

Paid by month

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

Year	Claims	Paid
2018	124,212	$15.79M
2019	268,470	$34.62M
2020	338,365	$43.61M
2021	361,823	$47.67M
2022	395,141	$55.00M
2023	440,747	$66.76M
2024incomplete	400,092	$61.42M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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)	100%	2,328,511	111,331	$324.82M
T1022	Contracted home health agency services, all services provided under contract, per day	<1%	259	259	$21K
99199	Unlisted special service, procedure or report	<1%	80	80	$19K

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 officialKLEIN, CHAIM (CEO)

Same official

Other billing entities under KLEIN, CHAIM

Full network →

Provider	Location	Paid
Emerest Heath of Missouri LLC	O Fallon, MO	$2.65M
Milton HC Operating LLC	Milton, MA	$1.02M
Royal Care Certified Home Health Care LLC	Flushing, NY	$458K

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