ACCESS INITIATIVES LLC
NPI: 1578173415
· NEW YORK, NY 10029
· Adult Day Care Clinic/Center
· NPI assigned 08/05/2020
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
98% of spending on code S9110 with only 2 total codes billed. Highly concentrated billing profile.
$2.09M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
2,910 |
$58K |
| 2021 |
10,014 |
$488K |
| 2022 |
4,987 |
$499K |
| 2023 |
10,675 |
$430K |
| 2024 |
16,734 |
$612K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9110 |
Telemonitoring of patient in their home, including all necessary equipment; computer system, connections, and software; maintenance; patient education and support; per month |
44,919 |
5,855 |
$2.05M |
| S5105 |
Day care services, center-based; services not included in program fee, per diem |
401 |
131 |
$40K |