ACADIA HOME HEALTH CARE LLC
NPI: 1982971008
· BLOOMFIELD, NJ 07003
· Home Health Agency
· NPI assigned 11/17/2011
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code T1019 with only 1 total codes billed. Highly concentrated billing profile.
$18.53M
Total Medicaid Paid
Provider Details
| Authorized Official | ALVAREZ, JACKIE (OPERATIONS MANAGER) |
| NPI Enumeration Date | 11/17/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
46,051 |
$2.46M |
| 2019 |
45,541 |
$2.86M |
| 2020 |
37,106 |
$2.64M |
| 2021 |
32,927 |
$2.72M |
| 2022 |
29,052 |
$2.81M |
| 2023 |
24,113 |
$2.65M |
| 2024 |
20,274 |
$2.38M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total 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) |
235,064 |
12,593 |
$18.53M |