AVONDALE CARE GROUP OF PENNSYLVANIA, LLC
NPI: 1457888745
· MONROEVILLE, PA 15146
· In Home Supportive Care Agency
· NPI assigned 05/17/2017
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code W1793 with only 1 total codes billed. Highly concentrated billing profile.
$1.04M
Total Medicaid Paid
Provider Details
| Authorized Official | HUISMAN, ELAZAR (NPI MANAGER) |
| NPI Enumeration Date | 05/17/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
447 |
$64K |
| 2021 |
655 |
$99K |
| 2022 |
377 |
$54K |
| 2023 |
1,798 |
$263K |
| 2024 |
3,648 |
$561K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| W1793 |
State-specific procedure code |
6,925 |
471 |
$1.04M |