JRC HEALTH CARE CONSULTANTS, INC
NPI: 1881096626
· POUGHKEEPSIE, NY 12603
· Case Management Agency
· NPI assigned 09/24/2014
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code T2024 with only 2 total codes billed. Highly concentrated billing profile.
$1.83M
Total Medicaid Paid
6,636
Beneficiary Records
Provider Details
| Authorized Official | CERNIGLIA, ERIC (PRESIDENT) |
| NPI Enumeration Date | 09/24/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
633 |
$174K |
| 2019 |
1,171 |
$322K |
| 2020 |
740 |
$204K |
| 2021 |
767 |
$213K |
| 2022 |
772 |
$214K |
| 2023 |
1,029 |
$283K |
| 2024 |
1,535 |
$422K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| T2024 |
Service assessment/plan of care development, waiver |
6,574 |
6,563 |
$1.81M |
| T1001 |
Nursing assessment / evaluation |
73 |
73 |
$20K |