Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Professional Home Care, INC.

Professional Home Care, INC. was paid $60K by Medicaid between Jan 2018 and Jul 2024, across 9 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 57% of everything it billed.

33Billing provider infoPROFESSIONAL HOME CARE, INC.
ITHACA, NY 14850
33aNPI1073675450assigned 12/14/2006
28Total paid$60K
24GClaims1,798
24DCodes billed9
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in New York

Rank by total paid#280 of 479
Median peer was paid$138K
This provider vs. median0.4×

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.

Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K2018201920202021202220232024
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
2018374$13K
2019393$12K
2020495$21K
202178$4K
2022115$5K
2023251$5K
2024incomplete92$423.06
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 57% 534 517 $34K
E0601 Continuous positive airway pressure (cpap) device 34% 589 561 $21K
A7037 Tubing used with positive airway pressure device 3.0% 281 280 $2K
E0562 Humidifier, heated, used with positive airway pressure device 2.9% 112 107 $2K
A7035 Headgear used with positive airway pressure device 1.0% 70 69 $628.02
A7038 Filter, disposable, used with positive airway pressure device <1% 147 146 $550.18
A7030 Full face mask used with positive airway pressure device, each <1% 12 12 $428.30
E0570 Nebulizer, with compressor <1% 13 13 $237.97
A7039 Filter, non disposable, used with positive airway pressure device <1% 40 40 $68.95

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 officialCERRA, JOSEPH (PRESIDENT AND CEO)