Clinic
Prime One Care LLC
Prime One Care LLC was paid $2.61M by Medicaid between Dec 2022 and Dec 2024, across 2 billing codes. Its largest line is S5102, adult day care, billed per day — 99% of everything it billed.
33Billing provider infoPRIME ONE CARE LLC
POMONA, CA 91767
POMONA, CA 91767
33aNPI1942887179assigned 03/25/2021
33bProvider typeAdult Day Care Clinic/Center
28Total paid$2.61M
24GClaims38,100
24DCodes billed2
24AFirst – last monthDec 2022 – Dec 2024
Compared with peers
Next to other Adult Day Care Clinic/Center providers in California
Rank by total paid#219 of 276
Median peer was paid$8.94M
This provider vs. median0.3×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration99% of spending on code S5102 with only 2 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 342 | $21K | |
| 2023 | 17,499 | $1.21M | |
| 2024incomplete | 20,259 | $1.38M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5102 | Adult day care, billed per dayDay care services, adult; per diem | 99% | 37,721 | 3,246 | $2.58M |
| H2000 | Comprehensive multidisciplinary evaluation | 1.1% | 379 | 142 | $28K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHAN, DONALD (PRESIDENT)