Is COMPASSIONATE CARE HOSPICE OF CLIFTON, LLC flagged for Medicaid fraud?

COMPASSIONATE CARE HOSPICE OF CLIFTON, LLC (NPI: 1245233816) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does COMPASSIONATE CARE HOSPICE OF CLIFTON, LLC bill Medicaid?

COMPASSIONATE CARE HOSPICE OF CLIFTON, LLC received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Hospice Care, Community Based provider. Located in BLOOMFIELD, NJ.

What is NPI 1245233816?

NPI 1245233816 is the National Provider Identifier for COMPASSIONATE CARE HOSPICE OF CLIFTON, LLC. They are a Hospice Care, Community Based provider based in BLOOMFIELD, NJ. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

COMPASSIONATE CARE HOSPICE OF CLIFTON, LLC

Hospice Care, Community Based·BLOOMFIELD, NJ·NPI: 1245233816Share

Compared to Hospice Care, Community Based Peers

Total spending distribution among 8 providers in this specialty

P25MedianP75P90

This provider's total spending of $21.1M is at the 25th percentile among 8 Hospice Care, Community Based providers.

Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$21.1M

$21,114,338

Total Claims

126K

Beneficiaries

11K

11.8 claims/patient

Avg Cost/Claim

$167

Monthly Spending Trend

Yearly Spending

2018

$4.1M

-18%

2019

$3.3M

-6%

2020

$3.1M

+22%

2021

$3.8M

-38%

2022

$2.4M

+18%

2023

$2.8M

-41%

2024

$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 9 distinct procedure codes. The top code (T2046 (Habilitation, residential, waiver; per month)) accounts for 90% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T2046Habilitation, residential, waiver; per monthSee all providers →

$19.0M

81K claims

$234.92

$1,795.74

0.1×

Normal range

T2046Normal range

Habilitation, residential, waiver; per month

$19.0M

81K claims · 89.9%

Your Cost: $234.92/claim|Median: $1,795.74

0.1× median

T2042Financial management, self-directed, waiver, per monthSee all providers →

$2.1M

11K claims

$197.17

$188.03

1.0×

Normal range

T2042Normal range

Financial management, self-directed, waiver, per month

$2.1M

11K claims · 9.9%

Your Cost: $197.17/claim|Median: $188.03

1.0× median

Q5001Injection, filgrastim-sndz, biosimilar, 1 mcgSee all providers →

$27K

172 claims

$154.58

$23.43

6.6×

Normal range

Q5001Normal range

Injection, filgrastim-sndz, biosimilar, 1 mcg

$27K

172 claims · 0.1%

Your Cost: $154.58/claim|Median: $23.43

6.6× median

G0299Skilled nursing services, home health, per visit, RNSee all providers →

$6K

9,816 claims

$0.65

$51.67

0.0×

Normal range

G0299Normal range

Skilled nursing services, home health, per visit, RN

$6K

9,816 claims · 0.0%

Your Cost: $0.65/claim|Median: $51.67

0.0× median

G0155Services of clinical social worker in home health, per 15 minSee all providers →

$57

1,666 claims

$0.03

$7.04

0.0×

Normal range

G0155Normal range

Services of clinical social worker in home health, per 15 min

$57

1,666 claims · 0.0%

Your Cost: $0.03/claim|Median: $7.04

0.0× median

HH250 See all providers →

530 claims

$0.00

—

HH250

530 claims · 0.0%

Q5003Injection, infliximab-dyyb, biosimilar, 10 mgSee all providers →

972 claims

$0.00

$177.99

—

Normal range

Q5003Normal range

Injection, infliximab-dyyb, biosimilar, 10 mg

972 claims · 0.0%

Your Cost: $0.00/claim|Median: $177.99

G0156Home health aide services, per visitSee all providers →

21K claims

$0.00

$39.42

—

Normal range

G0156Normal range

Home health aide services, per visit

21K claims · 0.0%

Your Cost: $0.00/claim|Median: $39.42

G0300Skilled nursing services, home health, per visit, LPNSee all providers →

690 claims

$0.00

$45.50

—

Normal range

G0300Normal range

Skilled nursing services, home health, per visit, LPN

690 claims · 0.0%

Your Cost: $0.00/claim|Median: $45.50

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