Acute Care House Calls LLC
Acute Care House Calls LLC was paid $236K by Medicaid between Nov 2020 and Jan 2023, across 18 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 23% of everything it billed.
33Billing provider infoACUTE CARE HOUSE CALLS LLC
LOS LUNAS, NM 87031
LOS LUNAS, NM 87031
33aNPI1033738786assigned 04/13/2020
33bProvider typePhysical Therapist
28Total paid$236K
24GClaims5,885
24DCodes billed18
24AFirst – last monthNov 2020 – Jan 2023
Compared with peers
Next to other Physical Therapist providers in New Mexico
Rank by total paid#51 of 78
Median peer was paid$415K
This provider vs. median0.6×
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.
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 | 933 | $41K | |
| 2021 | 3,749 | $143K | |
| 2022 | 1,191 | $51K | |
| 2023 | 12 | $923.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 23% | 1,440 | 1,275 | $55K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 16% | 769 | 679 | $38K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 15% | 545 | 533 | $35K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 10% | 1,262 | 1,125 | $25K |
| 87428 | 6.5% | 222 | 207 | $15K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.5% | 263 | 234 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.9% | 305 | 273 | $12K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 4.1% | 111 | 84 | $10K |
| 99201 | 3.4% | 203 | 198 | $8K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.7% | 102 | 95 | $6K |
| 0012A | 2.2% | 155 | 155 | $5K | |
| 0011A | 2.1% | 180 | 176 | $5K |
6 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | 2.1% | 59 | $5K |
| 0031A | 1.6% | 109 | $4K | |
| 0013A | <1% | 23 | $800.00 | |
| 91301 | <1% | 45 | $0.29 | |
| 99072 | 0% | 36 | $0.00 | |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 0% | 56 | $0.00 |
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 officialGUTIERREZ, DIANA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| DG Therapy Group INC | Whittier, CA | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.