Agency
Essential Needs Homecare
Essential Needs Homecare was paid $422K by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is T1016, Case management, each 15 minutes — 98% of everything it billed.
33Billing provider infoESSENTIAL NEEDS HOMECARE
FAIRMONT, WV 26554
FAIRMONT, WV 26554
33aNPI1043759368assigned 02/20/2017
33bProvider typeDevelopmentally Disabled Services Day Training Agency
28Total paid$422K
24GClaims6,541
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Developmentally Disabled Services Day Training Agency providers in West Virginia
Rank by total paid#15 of 19
Median peer was paid$2.18M
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2018 | 1,371 | $91K | |
| 2019 | 229 | $16K | |
| 2020 | 1,469 | $93K | |
| 2021 | 1,103 | $71K | |
| 2022 | 1,200 | $76K | |
| 2023 | 635 | $40K | |
| 2024incomplete | 534 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1016 | Case management, each 15 minutes | 98% | 6,336 | 4,756 | $412K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 1.2% | 124 | 107 | $5K |
| S5190 | Wellness assessment, performed by non-physician | <1% | 38 | 38 | $3K |
| S9444 | Parenting classes, non-physician provider, per session | <1% | 43 | 40 | $1K |
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 officialCOLLINS, NANCY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Essential Needs Homecare | Fairmont, WV | $4.74M |
| Essential Needs Homecare | Fairmont, WV | $745K |
| Nancy Paloma Collins Licensed Marriage and Family Therapist INC. | Newport Beach, CA | $534K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.