Agency
Optimal Health Care INC
Optimal Health Care INC was paid $102K by Medicaid between May 2022 and Nov 2024, across 5 billing codes. Its largest line is G0151, Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes — 72% of everything it billed.
33Billing provider infoOPTIMAL HEALTH CARE INC
CARLSBAD, CA 92008
CARLSBAD, CA 92008
33aNPI1053741017assigned 11/12/2013
33bProvider typeHome Health Agency
28Total paid$102K
24GClaims3,118
24DCodes billed5
24AFirst – last monthMay 2022 – Nov 2024
Compared with peers
Next to other Home Health Agency providers in California
Rank by total paid#417 of 1,072
Median peer was paid$9K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2022 | 63 | $0.00 | |
| 2023 | 554 | $31K | |
| 2024incomplete | 2,501 | $71K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | 72% | 1,469 | 501 | $73K |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 16% | 914 | 333 | $16K |
| G0300 | Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes | 6.4% | 126 | 42 | $7K |
| G0152 | Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes | 5.7% | 268 | 121 | $6K |
| Q5001 | Hospice or home health care provided in patient's home/residence | <1% | 341 | 333 | $0.02 |
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 officialPHI, NGOC (COO/SECRETARY)