Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Roam Healthcare INC - a Professional Nursing Corporation

Roam Healthcare INC - a Professional Nursing Corporation was paid $386K by Medicaid between Jul 2018 and Nov 2024, across 16 billing codes. Its largest line is G0181, Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans — 49% of everything it billed.

33Billing provider infoROAM HEALTHCARE INC - A PROFESSIONAL NURSING CORPORATION
NORTHRIDGE, CA 91324
33aNPI1063920296assigned 01/23/2018
28Total paid$386K
24GClaims26,679
24DCodes billed16
24AFirst – last monthJul 2018 – Nov 2024
Compared with peers

Next to other Family Nurse Practitioner providers in California

Rank by total paid#15 of 201
Median peer was paid$1K
This provider vs. median332×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2018240$5K
20192,123$39K
20203,176$62K
20213,342$68K
20224,806$84K
20236,533$74K
2024incomplete6,459$54K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 49% 8,249 8,244 $190K
99490 Ccm add 20min 8.5% 3,393 3,388 $33K
99454 6.4% 1,853 1,837 $25K
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 6.3% 1,979 1,979 $24K
99497 5.9% 1,923 1,916 $23K
99349 5.9% 2,461 2,447 $23K
99457 4.6% 1,816 1,801 $18K
G0179 Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 3.9% 1,422 1,422 $15K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 2.5% 1,214 1,170 $10K
99347 2.1% 1,269 1,194 $8K
99348 2.0% 418 416 $8K
99344 1.5% 188 188 $6K
4 more codes
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit <1% 185 $2K
99473 <1% 129 $2K
99453 <1% 69 $184.83
99407 <1% 111 $128.25

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 officialPORCIUNCULA, MICHELLE JOY (PRESIDENT)