Nursing facility
Prime Care One, LLC
Prime Care One, LLC was paid $710K by Medicaid between Oct 2020 and Dec 2023, across 1 billing code. Its largest line is T2031, Assisted living; waiver, per diem — 100% of everything it billed.
33Billing provider infoPRIME CARE ONE, LLC
MOUNTAINSIDE, NJ 07092
MOUNTAINSIDE, NJ 07092
33aNPI1831243120assigned 01/23/2007
33bProvider typeAssisted Living Facility
28Total paid$710K
24GClaims501
24DCodes billed1
24AFirst – last monthOct 2020 – Dec 2023
Compared with peers
Next to other Assisted Living Facility providers in New Jersey
Rank by total paid#101 of 167
Median peer was paid$954K
This provider vs. median0.7×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 12 | $14K | |
| 2021 | 172 | $221K | |
| 2022 | 171 | $239K | |
| 2023 | 146 | $236K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 100% | 501 | 460 | $710K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHARRIS, TONY (SENIOR REIMBURSEMENT MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Prime Care One, LLC | Middletown, NJ | $1.20M |
| Al I/East Brunswick Senior Housing, L.L.C. | East Brunswick, NJ | $727K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.