Managed care
Catholic Health System Program of All-Inclusive Care for the Elderly,
Catholic Health System Program of All-Inclusive Care for the Elderly, was paid $683.39 by Medicaid between Jan 2018 and Jun 2024, across 40 billing codes. Its largest line is T1002, Rn services, up to 15 minutes — 63% of everything it billed.
33Billing provider infoCATHOLIC HEALTH SYSTEM PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY,
LACKAWANNA, NY 14218
LACKAWANNA, NY 14218
33aNPI1124268305assigned 02/27/2009
33bProvider typeHealth Maintenance Organization
28Total paid$683.39
24GClaims86,215
24DCodes billed40
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Health Maintenance Organization providers in New York
Rank by total paid#26 of 28
Median peer was paid$159K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2018 | 9,012 | $0.00 | |
| 2019 | 14,748 | $683.39 | |
| 2020 | 12,549 | $0.00 | |
| 2021 | 15,558 | $0.00 | |
| 2022 | 15,558 | $0.00 | |
| 2023 | 14,659 | $0.00 | |
| 2024incomplete | 4,131 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1002 | Rn services, up to 15 minutes | 63% | 22,587 | 10,969 | $432.74 |
| 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) | 17% | 4,661 | 3,499 | $118.02 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 6.5% | 9,060 | 3,679 | $44.37 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.3% | 1,098 | 821 | $29.06 |
| 97116 | 2.9% | 3,603 | 1,249 | $19.84 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 2.2% | 8,883 | 2,624 | $14.76 |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 1.4% | 1,441 | 669 | $9.84 |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 3,182 | 1,489 | $4.92 |
| 97124 | <1% | 762 | 380 | $4.92 | |
| 97010 | <1% | 3,307 | 1,370 | $4.92 | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 0% | 484 | 463 | $0.00 |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 0% | 232 | 230 | $0.00 |
28 more codes
| 97168 | 0% | 207 | $0.00 | |
| T2024 | Service assessment/plan of care development, waiver | 0% | 1,186 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 372 | $0.00 |
| 97803 | 0% | 1,250 | $0.00 | |
| S9127 | Social work visit, in the home, per diem | 0% | 62 | $0.00 |
| T1001 | Nursing assessment / evaluation | 0% | 1,224 | $0.00 |
| 97164 | 0% | 2,599 | $0.00 | |
| 99600 | Unlisted home visit service or procedure | 0% | 562 | $0.00 |
| T2003 | Non-emergency transportation, per trip | 0% | 601 | $0.00 |
| 97542 | 0% | 41 | $0.00 | |
| 90658 | 0% | 154 | $0.00 | |
| 99442 | 0% | 110 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 285 | $0.00 |
| S9129 | Occupational therapy, in the home, per diem | 0% | 5,135 | $0.00 |
| 99417 | Prolong home eval add 15m | 0% | 462 | $0.00 |
| 97535 | Self-care/home management training, each 15 minutes | 0% | 566 | $0.00 |
| 97165 | 0% | 359 | $0.00 | |
| S9131 | Physical therapy; in the home, per diem | 0% | 4,840 | $0.00 |
| T1016 | Case management, each 15 minutes | 0% | 4,818 | $0.00 |
| S9128 | Speech therapy, in the home, per diem | 0% | 667 | $0.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 834 | $0.00 |
| 99441 | 0% | 73 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 154 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 111 | $0.00 |
| 90688 | 0% | 123 | $0.00 | |
| Q2039 | Influenza virus vaccine, not otherwise specified | 0% | 48 | $0.00 |
| 99443 | 0% | 52 | $0.00 | |
| 97139 | 0% | 20 | $0.00 |
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 officialKLUCKHOHN, CHRISTINE (PRESIDENT & CHIEF EXECUTIVE OFFICER)
Parent organizationCATHOLOC HEALTH SYSTEM, INC.