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

Soto Home Care, INC.

Soto Home Care, INC. was paid $941K by Medicaid between Jun 2019 and Oct 2024, across 4 billing codes. Its largest line is S5131, Homemaker service, nos; per diem — 48% of everything it billed.

33Billing provider infoSOTO HOME CARE, INC.
HOLYOKE, MA 01040
33aNPI1093269078assigned 08/08/2016
33bProvider typeHome Health Agency
28Total paid$941K
24GClaims18,083
24DCodes billed4
24AFirst – last monthJun 2019 – Oct 2024
Compared with peers

Next to other Home Health Agency providers in Massachusetts

Rank by total paid#185 of 299
Median peer was paid$2.39M
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$20K$40K$60K2018201920202021202220232024
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
20194,435$66K
20206,879$15K
20212,414$5K
2022447$70K
20232,168$405K
2024incomplete1,740$380K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S5131 Homemaker service, nos; per diem 48% 1,921 396 $454K
S5130 Homemaker services, billed per 15 minutesHomemaker service, nos; per 15 minutes 43% 2,697 624 $404K
G0156 Services of home health/hospice aide in home health or hospice settings, each 15 minutes 4.8% 6,656 277 $45K
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 4.0% 6,809 520 $38K

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 officialSOTO, ANTHONY (OWNER/ADMINISTRATOR)