HEALTH CARE BENEFIT SERVICES, LLC
NPI: 1841581626
· ATLANTIC CITY, NJ 08401
· Medically Fragile Infants and Children Day Care
· NPI assigned 04/27/2011
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1024 with only 1 total codes billed. Highly concentrated billing profile.
$4.80M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,933 |
$1.50M |
| 2019 |
5,121 |
$1.55M |
| 2020 |
3,713 |
$1.12M |
| 2021 |
2,066 |
$624K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1024 |
Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter |
15,833 |
888 |
$4.80M |