Agency
Cool Waters, LLC
Cool Waters, LLC was paid $6.28M by Medicaid between Mar 2020 and Nov 2024, across 1 billing code. Its largest line is W1793, State-specific procedure code — 100% of everything it billed.
33Billing provider infoCOOL WATERS, LLC
HARRISBURG, PA 17109
HARRISBURG, PA 17109
33aNPI1003247925assigned 12/02/2013
33bProvider typeHome Health Agency
28Total paid$6.28M
24GClaims35,632
24DCodes billed1
24AFirst – last monthMar 2020 – Nov 2024
Compared with peers
Next to other Home Health Agency providers in Pennsylvania
Rank by total paid#141 of 404
Median peer was paid$2.66M
This provider vs. median2.4×
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 W1793 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 | |
|---|---|---|---|
| 2020 | 1,336 | $218K | |
| 2021 | 8,105 | $1.25M | |
| 2022 | 7,533 | $1.22M | |
| 2023 | 10,314 | $1.98M | |
| 2024incomplete | 8,344 | $1.61M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| W1793 | State-specific procedure code | 100% | 35,632 | 1,637 | $6.28M |
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 officialMBAYA, ESTER (DIRECTOR OF OPERAATIONS AND FINANCE)