Medicaid Provider Spending

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

ADVANTAGE HEALTH AND SOCIAL SERVICES LLC

NPI: 1528304318 · EAST ORANGE, NJ 07018 · Case Management Agency · NPI assigned 12/24/2012

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

100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.

$8.10M
Total Medicaid Paid
66,941
Total Claims
3,545
Beneficiaries
1
Codes Billed
2022-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialROSENBERG, SHIGGY (MEMBER)
NPI Enumeration Date12/24/2012

Related Entities

Other providers sharing the same authorized official: ROSENBERG, SHIGGY

ProviderCityStateTotal Paid
HEART TO HEART HEALTH CARE SERVICES, LLC EAST ORANGE NJ $149.59M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 5,732 $587K
2023 32,717 $3.97M
2024 28,492 $3.53M

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) 66,941 3,545 $8.10M