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

Prohealth Hospice-Alabama, LLC

Prohealth Hospice-Alabama, LLC was paid $3.84M by Medicaid between Jun 2019 and Oct 2024, across 1 billing code. Its largest line is T2046, Hospice long term care, room and board only; per diem — 100% of everything it billed.

33Billing provider infoPROHEALTH HOSPICE-ALABAMA, LLC
GADSDEN, AL 35903
33aNPI1104271857assigned 05/02/2016
28Total paid$3.84M
24GClaims854
24DCodes billed1
24AFirst – last monthJun 2019 – Oct 2024
Compared with peers

Next to other Community Based Hospice Care Agency providers in Alabama

Rank by total paid#10 of 44
Median peer was paid$1.45M
This provider vs. median2.7×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration100% of spending on code T2046 with only 1 total codes billed. Highly concentrated billing profile.
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
2019111$466K
202054$178K
202174$391K
2022197$912K
2023224$1.04M
2024incomplete194$856K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T2046 Hospice long term care, room and board only; per diem 100% 854 781 $3.84M

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 officialLESTER, DAVID (CEO)
Parent organizationPROHEALTH GROUP INC.
Same official

Other billing entities under LESTER, DAVID

Full network →
ProviderLocationPaid
Pike County Board of EducationPikeville,, KY$567K
David J. Lester, M.D. INCMuskogee, OK$5K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.