Medicaid Provider Spending

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

NPI: 1538826482 · NORTH BRUNSWICK, NJ 08902 · Intellectual Disabilities Intermediate Care Facility · NPI assigned 11/25/2021

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.

$5.91M
Total Medicaid Paid
89,180
Total Claims
3,277
Beneficiaries
1
Codes Billed
2023-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPATEL, AJAY (DIRECTOR)
NPI Enumeration Date11/25/2021

Related Entities

Other providers sharing the same authorized official: PATEL, AJAY

ProviderCityStateTotal Paid
SEWA ADULT DAY CARE LLC EDISON NJ $26.34M
AJAY PATEL, MD A PROFESSIONAL MEDICAL CORPORATION DOWNEY CA $3.91M
AJAY T PATEL MD INC SAINT ALBANS WV $270K
ER CARE OF CFL LLC ORLANDO FL $40K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 7,724 $391K
2024 81,456 $5.52M

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) 89,180 3,277 $5.91M