Ens Health Care Management LLC

Ens Health Care Management LLC was paid $1.60M by Medicaid between Apr 2018 and Oct 2020, across 1 billing code. Its largest line is T1019, help at home with bathing, dressing and eating, billed per 15 minutes — 100% of everything it billed.

33Billing provider infoENS HEALTH CARE MANAGEMENT LLC
ALBANY, NY 12205

33aNPI1972560365assigned 04/28/2006

33bProvider typeHome Health Agency

28Total paid$1.60M

24GClaims7,261

24DCodes billed1

24AFirst – last monthApr 2018 – Oct 2020

Compared with peers

Next to other Home Health Agency providers in New York

Rank by total paid#666 of 851

Median peer was paid$15.00M

This provider vs. median0.1×

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 Concentration100% of spending on code T1019 with only 1 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
2018	1,406	$300K
2019	3,101	$692K
2020	2,754	$611K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1019	Help at home with bathing, dressing and eating, billed per 15 minutesPersonal 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)	100%	7,261	457	$1.60M

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 officialSMITH, SUZANNE (CO-PRESIDENT)

Same official

Other billing entities under SMITH, SUZANNE

Full network →

Provider	Location	Paid
Mhcdi, LLC	Glendale, CA	$1.86M
Bastrop Pediatric Day Health Center, LLC	Bastrop, LA	$920K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.