Residential
DFW Medical Home PLLC
DFW Medical Home PLLC was paid $1.05M by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is 99350, Prolong home eval add 15m — 47% of everything it billed.
33Billing provider infoDFW MEDICAL HOME PLLC
IRVING, TX 75038
IRVING, TX 75038
33aNPI1124441423assigned 01/23/2014
33bProvider typeIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
28Total paid$1.05M
24GClaims52,928
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Texas
Rank by total paid#104 of 115
Median peer was paid$5.61M
This provider vs. median0.2×
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 | 1,141 | $3K | |
| 2019 | 2,679 | $38K | |
| 2020 | 5,071 | $80K | |
| 2021 | 10,180 | $244K | |
| 2022 | 10,430 | $297K | |
| 2023 | 11,404 | $239K | |
| 2024incomplete | 12,023 | $146K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99350 | Prolong home eval add 15m | 47% | 11,048 | 10,279 | $488K |
| 99091 | 26% | 2,423 | 2,373 | $269K | |
| 99349 | 11% | 2,208 | 2,012 | $113K | |
| 99423 | 4.9% | 1,177 | 384 | $51K | |
| 99444 | 3.0% | 567 | 154 | $32K | |
| 99348 | 1.4% | 553 | 317 | $15K | |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | 1.4% | 4,165 | 4,159 | $14K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.2% | 178 | 177 | $13K |
| 99345 | Prolong home eval add 15m | 1.2% | 375 | 366 | $13K |
| 93922 | <1% | 320 | 299 | $10K | |
| 95921 | <1% | 316 | 299 | $9K | |
| 95923 | <1% | 315 | 298 | $8K |
33 more codes
| 99490 | Ccm add 20min | <1% | 1,859 | $5K |
| 99439 | <1% | 1,231 | $3K | |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 1,519 | $2K |
| 90674 | <1% | 105 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 85 | $594.24 |
| 99347 | <1% | 14 | $458.86 | |
| 99497 | <1% | 744 | $180.98 | |
| 99454 | <1% | 755 | $122.80 | |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 95 | $115.61 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 14 | $86.24 |
| 99457 | <1% | 788 | $49.21 | |
| 99458 | <1% | 787 | $31.46 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 1,474 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 4,355 | $0.00 |
| G0029 | Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period | 0% | 1,185 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 70 | $0.00 |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 1,180 | $0.00 |
| 99453 | 0% | 13 | $0.00 | |
| 3046F | 0% | 406 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 71 | $0.00 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 12 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 5,359 | $0.00 |
| 1123F | 0% | 1,670 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 433 | $0.00 |
| 1125F | 0% | 446 | $0.00 | |
| 1170F | 0% | 253 | $0.00 | |
| G8733 | Elder maltreatment screen documented as positive and a follow-up plan is documented | 0% | 1,903 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,195 | $0.00 |
| G9711 | Patients with a diagnosis or past history of total colectomy or colorectal cancer | 0% | 1,204 | $0.00 |
| 90686 | 0% | 12 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 12 | $0.00 |
| 93000 | 0% | 15 | $0.00 | |
| 99406 | 0% | 19 | $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 officialKETHA, SUMANA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Sumana Ketha, MD PA | Irving, TX | $45K |
| DFW Primary Care PLLC | Irving, TX | $35K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.