Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › MOUNTAINSIDE › PRIME CARE ONE, LLC

PRIME CARE ONE, LLC

NPI: 1831243120 · MOUNTAINSIDE, NJ 07092 · Assisted Living Facility · NPI assigned 01/23/2007

$710K
Total Medicaid Paid
501
Total Claims
460
Beneficiaries
1
Codes Billed
2020-10
First Month
2023-12
Last Month

Provider Details

Authorized OfficialHARRIS, TONY (SENIOR REIMBURSEMENT MANAGER)
NPI Enumeration Date01/23/2007

Related Entities

Other providers sharing the same authorized official: HARRIS, TONY

ProviderCityStateTotal Paid
PRIME CARE ONE, LLC MIDDLETOWN NJ $1.20M
AL I/EAST BRUNSWICK SENIOR HOUSING, L.L.C. EAST BRUNSWICK NJ $727K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 12 $14K
2021 172 $221K
2022 171 $239K
2023 146 $236K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T2031 Assisted living; waiver, per diem 501 460 $710K