PARK AVENUE SENIOR CARE, INC
NPI: 1922556166
· CRANSTON, RI 02910
· Community Health Worker
· NPI assigned 09/16/2016
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code S5102 with only 3 total codes billed. Highly concentrated billing profile.
$2.98M
Total Medicaid Paid
Provider Details
| Authorized Official | QI, IRENE (PRESIDENT) |
| NPI Enumeration Date | 09/16/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,354 |
$359K |
| 2019 |
6,264 |
$449K |
| 2020 |
1,441 |
$101K |
| 2021 |
4,037 |
$325K |
| 2022 |
5,906 |
$480K |
| 2023 |
7,907 |
$585K |
| 2024 |
8,564 |
$676K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S5102 |
Day care services, adult; per diem |
39,063 |
3,095 |
$2.96M |
| S5101 |
Day care services, adult; per half day |
384 |
218 |
$15K |
| T1016 |
Case management, each 15 minutes |
26 |
14 |
$580.00 |