Medicaid Provider Spending

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

ULTIMATE CARE, INC.

NPI: 1871953984 · BROOKLYN, NY 11221 · Home Health Agency · NPI assigned 03/02/2016

Billing Flags · Automated signals — not evidence of fraud
Single-Code Concentration

100% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.

$24.70M
Total Medicaid Paid
161,118
Total Claims
7,979
Beneficiaries
3
Codes Billed
2019-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHAFIR, CAROL (DPS/ADMINISTRATOR)
Parent OrganizationULTIMATE CARE, INC.
NPI Enumeration Date03/02/2016

Related Entities

Other providers sharing the same authorized official: SHAFIR, CAROL

ProviderCityStateTotal Paid
EMINENCE HOME HEALTH CARE INC NEPTUNE NJ $2.21M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12,907 $1.73M
2020 18,905 $2.67M
2021 26,043 $3.74M
2022 39,351 $5.76M
2023 27,269 $4.55M
2024 36,643 $6.24M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1019 Personal care services, per 15 minutes, 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) 160,697 7,656 $24.61M
T1022 Contracted home health agency services, all services provided under contract, per day 308 308 $64K
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) 113 15 $21K