Agency
Priority One Home Health Services INC
Priority One Home Health Services INC was paid $2.64M by Medicaid between Jan 2019 and Oct 2024, across 7 billing codes. Its largest line is S9123, Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) — 78% of everything it billed.
33Billing provider infoPRIORITY ONE HOME HEALTH SERVICES INC
MONTCLAIR, CA 91763
MONTCLAIR, CA 91763
33aNPI1083609853assigned 09/16/2005
33bProvider typeHome Health Agency
28Total paid$2.64M
24GClaims41,783
24DCodes billed7
24AFirst – last monthJan 2019 – Oct 2024
Compared with peers
Next to other Home Health Agency providers in California
Rank by total paid#155 of 1,072
Median peer was paid$9K
This provider vs. median284×
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 | |
|---|---|---|---|
| 2019 | 11,342 | $633K | |
| 2020 | 11,291 | $688K | |
| 2021 | 6,839 | $463K | |
| 2022 | 4,152 | $324K | |
| 2023 | 5,462 | $324K | |
| 2024incomplete | 2,697 | $212K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9123 | Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) | 78% | 18,368 | 2,512 | $2.05M |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 20% | 4,899 | 851 | $522K |
| G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | 1.1% | 325 | 130 | $30K |
| A4217 | Sterile water/saline, 500 ml | <1% | 3,658 | 451 | $22K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 7,676 | 997 | $10K |
| A6219 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing | <1% | 618 | 98 | $7K |
| A4927 | Gloves, non-sterile, per 100 | <1% | 6,239 | 1,051 | $4K |
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 officialCATUIRA, MARIA CHONA (DPCS ADMINISTRATOR)