Medicaid Provider Spending

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

90 CAFFERTY ROAD OPERATING COMPANY, LP

NPI: 1811293996 · POINT PLEASANT, PA 18950 · Home Health Registered Nurse · NPI assigned 02/07/2011

$2.16M
Total Medicaid Paid
635
Total Claims
594
Beneficiaries
4
Codes Billed
2020-09
First Month
2021-04
Last Month

Provider Details

Authorized OfficialKENWORTHY, KIMBERLY (SR. DIRECTOR REVENUE CYCLE MGMT)
NPI Enumeration Date02/07/2011

Related Entities

Other providers sharing the same authorized official: KENWORTHY, KIMBERLY

ProviderCityStateTotal Paid
15 WESNER LANE PECC OPERATING COMPANY, LP DANVILLE PA $6.50M
120 RIDER AVENUE OPERATING COMPANY, LP LANCASTER PA $2.03M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 296 $996K
2021 339 $1.16M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1020 Personal care services, per diem, 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) 161 149 $961K
S9124 Nursing care, in the home; by licensed practical nurse, per hour 157 148 $610K
S9122 Home health aide or certified nurse assistant, providing care in the home; per hour 160 149 $385K
S9123 Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) 157 148 $204K