Medicaid Provider Spending

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

NAE EDISON LLC

NPI: 1952769267 · BROOKLYN, NY 11218 · Home Health Agency · NPI assigned 02/01/2016

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

99% of spending on code T1019 with only 3 total codes billed. Highly concentrated billing profile.

$64.79M
Total Medicaid Paid
399,577
Total Claims
20,087
Beneficiaries
3
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWEISS, SAMUEL (PRESIDENT)
NPI Enumeration Date02/01/2016

Related Entities

Other providers sharing the same authorized official: WEISS, SAMUEL

ProviderCityStateTotal Paid
INSPIRE SOCIAL DAY CARE CENTER BROOKLYN NY $447K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 9,094 $1.05M
2019 25,159 $3.18M
2020 42,848 $5.76M
2021 55,480 $8.13M
2022 71,100 $11.24M
2023 90,112 $16.04M
2024 105,784 $19.39M

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) 397,626 18,731 $64.28M
T1022 Contracted home health agency services, all services provided under contract, per day 1,331 1,331 $314K
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) 620 25 $197K