Medicaid Provider Spending

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

C & M HEALTH SERVICES LLC

NPI: 1558798991 · NORTH BRUNSWICK, NJ 08902 · Home Health Agency · NPI assigned 09/30/2013

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

100% of spending on code T1019 with only 2 total codes billed. Highly concentrated billing profile.

$16.67M
Total Medicaid Paid
217,100
Total Claims
9,791
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMISKA, WILLIAM (MANAGING MEMBER)
NPI Enumeration Date09/30/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 48,253 $2.52M
2019 40,871 $2.30M
2020 30,730 $2.00M
2021 28,546 $2.23M
2022 25,772 $2.53M
2023 21,716 $2.44M
2024 21,212 $2.65M

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) 217,044 9,735 $16.67M
T1001 Nursing assessment / evaluation 56 56 $2K